Organization Active NPI

Gateway Apothecary

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1326316969
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2011027321 Issued in MO
Legal business name
GATEWAY APOTHECARY
Practice address
4473 Forest Park Ave
Saint Louis, MO 63108-2211
Phone
(314) 381-1818
Fax
(314) 667-3202
NPI assigned
Dec 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel Elizabeth Sierbinski, PHARMDNPI 1194153999
Title
Pharmacist in Charge
Phone
(314) 381-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2011027321 MO Primary
Long Term Care Pharmacy 3336L0003X 2011027321 MO

Addresses

Primary practice location

4473 Forest Park Ave
Saint Louis, MO 63108-2211

Mailing address

1905 Branch Rd
Fenton, MO 63026-2613

Other identifiers 1

IdentifierTypeStateIssuer
2133068OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210419000960 MO Part B Supplier - Pharmacy 6507274297 Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2044787Gateway Apothecary4473 Forest Park Avenue, Saint Louis, MO 63108Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory

Locations

4473 Forest Park Ave
Saint Louis, MO 63108
Phone (314) 381-1818

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1326316969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BRANCH RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4473 FOREST PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082211",
            "telephone_number": "314-381-1818",
            "fax_number": "314-667-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-11",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "SIERBINSKI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "314-381-1818",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2011027321",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2011027321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.