NPIMap

Organization Active NPI

Neighborhood LTC Pharmacy Inc.

  • Long Term Care Pharmacy
  • Saint Louis, MO
National Provider Identifier
1326745233
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
NEIGHBORHOOD LTC PHARMACY INC.
Practice address
11861 Westline Industrial Dr Ste 700B
Saint Louis, MO 63146-3328
Phone
(314) 530-9770
Fax
(314) 530-9771
NPI assigned
Feb 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Marissa McMahon, PHARMD
Title
Coo
Phone
(402) 488-1184

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

11861 Westline Industrial Dr Ste 700B
Saint Louis, MO 63146-3328

Mailing address

1265 S Cotner Blvd Ste 30
Lincoln, NE 68510-4924
Phone (402) 488-1184

Other identifiers 1

IdentifierTypeStateIssuer
600133685MedicaidMO

Other names 1

  • Neighborhood LTC Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231128002815 MO DME Supplier - Pharmacy 8628290673 Practice locations: Saint Louis, MO
O20240820000383 MO Part B Supplier - Pharmacy 8628290673 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, MO; Saint Louis, MO; Blue Springs, MO

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Neighborhood LTC Pharmacy11861 Westline Industrial Dr, Saint Louis, MO 63146-3328(314) 530-9770 Nebulizer Drugs Accepts assignmentParticipating since Dec 21, 2020

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood LTC Pharm Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1326745233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 S COTNER BLVD STE 30",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104924",
            "telephone_number": "402-488-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11861 WESTLINE INDUSTRIAL DR STE 700B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463328",
            "telephone_number": "314-530-9770",
            "fax_number": "314-530-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD LTC PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "402-488-1184",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600133685",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neighborhood LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 17, 2024; 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.