Active NPI
Gateway Apothecary
- Community/Retail Pharmacy
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2011027321
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Elizabeth Sierbinski, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133068 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210419000960 | MO | Part B Supplier - Pharmacy | 6507274297 | Practice locations: Saint Louis, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2044787 | Gateway Apothecary | Certificate of waiver | Jul 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacy
- Saint Louis, MO
- NPI 1730834540
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Saint Louis, MO
- NPI 1194153999
-
- Pharmacist
- Saint Louis, MO
- NPI 1932879517
-
- Pharmacist
- Saint Louis, MO
- NPI 1790024677
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.