Medical West Respiratory Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

LC001502307 Issued in MO

Legal business name

MEDICAL WEST RESPIRATORY PHARMACY, LLC

Practice address

440 South Brentwood Blvd
Clayton, MO 63105

Phone

(314) 290-0333

NPI assigned

Oct 5, 2016

Last updated

Oct 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Sandler

Title

Managing Partner

Phone

(314) 993-7920

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1356891162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 DIELMAN INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SOUTH BRENTWOOD BLVD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "63105",
            "telephone_number": "314-290-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WEST RESPIRATORY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "SANDLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "314-993-7920"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "LC001502307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mercyone CDS Home Health Care LLC
• Dana Merris, FNP-BC
• Megan Marie Meyers, MA, LPC, NCC
• James Mikolajczak, M.D.

• Community/Retail Pharmacy in Clayton, MO
• Providers in Clayton, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.