Organization Active NPI

Genesis Pharmacy Services, LLC

  • Compounding Pharmacy
  • Saint Louis, MO
National Provider Identifier
1356770762
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
GENESIS PHARMACY SERVICES, LLC
Practice address
1878 Craigshire Rd
Saint Louis, MO 63146-4006
Phone
(314) 485-8600
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Ford Manion
Title
Owner
Phone
(314) 485-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

1878 Craigshire Rd
Saint Louis, MO 63146-4006

Mailing address

1878 Craigshire Rd
Saint Louis, MO 63146-4006

National Provider Directory

National Provider Directory

Locations

1878 Craigshire Dr
Saint Louis, MO 63146
Phone (314) 205-1650

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1356770762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 CRAIGSHIRE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 CRAIGSHIRE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464006",
            "telephone_number": "314-485-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "FORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-485-8600"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "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 Nov 6, 2013; 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.