NPIMap

Organization Active NPI

Express Scripts Specialty Dist SVCS

  • Mail Order Pharmacy
  • Saint Louis, MO
National Provider Identifier
1346322575
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
2000168119 Issued in MO
Legal business name
EXPRESS SCRIPTS SPECIALTY DIST SVCS
Practice address
4600 N Hanley Rd Ste B
Saint Louis, MO 63134-2715
Phone
(314) 587-4050
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Mrs. Susan Peppers
Title
Assistant Secretary
Phone
(513) 858-4916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 2000168119 MO Primary

Addresses

Primary practice location

4600 N Hanley Rd Ste B
Saint Louis, MO 63134-2715

Mailing address

21162 Network PL
Chicago, IL 60673-1238

Other identifiers 1

IdentifierTypeStateIssuer
2633611OtherOTHER ID NUMBER COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Express Scripts Specialty Dist SVCS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

21162 Network Pl
Chicago, IL 60673

Practitioners & affiliated clinicians

Practitioners 9

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1346322575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21162 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N HANLEY RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342715",
            "telephone_number": "314-587-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS SCRIPTS SPECIALTY DIST SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "513-858-4916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MO",
            "license": "2000168119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER COMMERCIAL NUMBER",
            "identifier": "2633611",
            "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 May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.