Organization Active NPI

Global Pharmalife LLC

  • Community/Retail Pharmacy
  • Creve Coeur, MO
National Provider Identifier
1407880925
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2005027475 Issued in MO
Legal business name
GLOBAL PHARMALIFE LLC
Doing business as
PHARMA LIFE
Practice address
10479 Old Olive Street Rd
Creve Coeur, MO 63141-5923
Phone
(314) 997-7722
Fax
(404) 261-4917
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Michael Bogachek
Title
VP
Phone
(404) 261-7775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2005027475 MO Primary

Addresses

Primary practice location

10479 Old Olive Street Rd
Creve Coeur, MO 63141-5923

Mailing address

10479 Old Olive Street Rd
Creve Coeur, MO 63141-5923
Phone (314) 997-7722

Other identifiers 1

IdentifierTypeStateIssuer
2636251OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PHARMA LIFE Doing business as

National Provider Directory

National Provider Directory

Locations

10479 Old Olive Street Rd
Creve Coeur, MO 63141
Phone (314) 997-7722

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1407880925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10479 OLD OLIVE STREET RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415923",
            "telephone_number": "314-997-7722",
            "fax_number": "404-261-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10479 OLD OLIVE STREET RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415923",
            "telephone_number": "314-997-7722",
            "fax_number": "404-261-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL PHARMALIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "BOGACHEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "404-261-7775"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2005027475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2636251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMA LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.