Active NPI
Muhammad Lawal
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1407681455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2024026360
- Practice address
- 3925 Lindell Blvd
Saint Louis, MO 63108-3203 - Phone
- (314) 535-1048
- NPI assigned
- Sep 7, 2024
- Last updated
- Sep 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 2024026360 | MO | Primary |
Addresses
Primary practice location
3925 Lindell Blvd
Saint Louis, MO 63108-3203
Mailing address
3949 Lindell Blvd Apt 3049
Saint Louis, MO 63108-3280
Phone (630) 270-9833
Other practice location 1
2248 Welsch Industrial Ct
Saint Louis, MO 63146-4222
Phone (630) 413-5800
Other names 1
- TJ Lawal
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024026360 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri CVS Pharmacy LLC | Past | Accepting new patients | |
| Symbria RX Services St. Louis, LLC | Past | Accepting new patients | |
| Missouri CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Saint Louis, MO
- NPI 1730655747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725667200000",
"number": "1407681455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 LINDELL BLVD APT 3049",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631083280",
"telephone_number": "630-270-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 LINDELL BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631083203",
"telephone_number": "314-535-1048"
}
],
"practiceLocations": [
{
"address_1": "2248 Welsch Industrial Ct",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631464222",
"country_code": "US",
"telephone_number": "630-413-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWAL",
"first_name": "MUHAMMAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-07",
"last_updated": "2024-09-07",
"certification_date": "2024-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MO",
"license": "2024026360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TJ",
"last_name": "LAWAL",
"code": "5",
"type": "Other Name"
}
]
}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 Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.