Organization Active NPI

SJZ Healthcare

  • Community/Retail Pharmacy
  • Webster Groves, MO
National Provider Identifier
1356796080
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2016012058 Issued in MO
Legal business name
SJZ HEALTHCARE
Practice address
608 E Lockwood Ave
Webster Groves, MO 63119-3219
Phone
(314) 962-1065
Fax
(314) 962-9215
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Steve ZielinskiNPI 1891709499
Title
Pharmacist/Owner
Phone
(314) 962-1065

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2016012058 MO Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

608 E Lockwood Ave
Webster Groves, MO 63119-3219

Mailing address

608 E Lockwood Ave
Webster Groves, MO 63119-3219
Phone (314) 962-1065

Other identifiers 2

IdentifierTypeStateIssuer
2158129OtherPK
6001249407MedicaidMO

Other names 1

  • Webster Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181206003301 MO Part B Supplier - Other 6608110317 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1356796080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E LOCKWOOD AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193219",
            "telephone_number": "314-962-1065",
            "fax_number": "314-962-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E LOCKWOOD AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193219",
            "telephone_number": "314-962-1065",
            "fax_number": "314-962-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJZ HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "ZIELINSKI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "314-962-1065"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2016012058",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001249407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster Groves, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.