Active NPI
Emily Ann Petroline, PHARM D
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1346483328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2007024423
- Practice address
- 915 North Grand Blvd
Saint Louis, MO 63106 - Phone
- (314) 289-6439
- NPI assigned
- Apr 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2007024423 | MO | Primary |
Addresses
Primary practice location
915 North Grand Blvd
Saint Louis, MO 63106
Mailing address
139 Sandridge Dr
Collinsville, IL 62234-3787
Phone (573) 576-3864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007024423 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1346483328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SANDRIDGE DR",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622343787",
"telephone_number": "573-576-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 NORTH GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63106",
"telephone_number": "314-289-6439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETROLINE",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2007024423",
"primary": true
}
],
"identifiers": [],
"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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.