Cardinal Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2018021047 Issued in MO

Legal business name

CARDINAL PHARMACY

Practice address

108 Triad Ctr W # 108
O Fallon, MO 63366-7541

Phone

(833) 347-4217

NPI assigned

Jul 5, 2018

Last updated

Jul 5, 2018By 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

Michael Peters

Title

Owner

Phone

(702) 245-7307

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1376039149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TRIAD CTR W # 108",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TRIAD CTR W # 108",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667541",
            "telephone_number": "833-347-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-245-7307"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2018021047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Canale, M.D.
• Candace Graves
• Cassandra Rose Cantu, DC
• Kristen Cardascia, OTR/L
• Cardinal Home Care LLC
• Caregivers Inn Business LLC
• Shannon Carlisle, PHARMD
• Carnelian LLC
• Abraham Michael Carpenter, D.C.
• Vivian Carr, LPC

• Community/Retail Pharmacy in O'Fallon, MO
• Providers in O'Fallon, 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 Jul 5, 2018; 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.