Active NPI
Corum Health Services, Inc.
Doing business as Corum Health Services
- Long Term Care Pharmacy
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 005711
- Legal business name
- CORUM HEALTH SERVICES, INC.
- Doing business as
- Corum Health Services
- Practice address
- 14805 N Outer 40 Rd
Suite 140
Chesterfield, MO 63017-6060 - Phone
- (636) 733-7300
- Fax
- (636) 733-7334
- NPI assigned
- Sep 16, 2005
- Last updated
- Jul 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Kenneth Hebel, RPH
- Title
- Executive Director
- Phone
- (636) 733-7300
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 005711 | MO | Primary |
Addresses
Primary practice location
14805 N Outer 40 Rd
Suite 140
Chesterfield, MO 63017-6060
Mailing address
14805 N Outer 40 Rd Ste 140
Chesterfield, MO 63017-6060
Phone (636) 733-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 607781606 | Medicaid | MO |
Other names 1
- Corum Health Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pharmacy@corumrx.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210107001346 | MO | Part B Supplier - Pharmacy | 9830502038 | Practice locations: Chesterfield, MO |
National Provider Directory
National Provider DirectoryLocations
14805 North Outer 40 Rd
Ste 140
Chesterfield, MO 63017
Phone (636) 733-7300
14805 North Outer 40 Rd
Ste 300
Chesterfield, MO 63017
Phone (636) 733-7000
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Chesterfield, MO
- NPI 1194450155
-
- Pharmacist
- Chesterfield, MO
- NPI 1023356037
-
- Pharmacist
- Chesterfield, MO
- NPI 1336860519
-
- Pharmacist
- Arnold, MO
- NPI 1790397354
-
- Pharmacist
- Chesterfield, MO
- NPI 1255065082
-
- Pharmacist
- Chesterfield, MO
- NPI 1598490641
-
- Pharmacist
- Chesterfield, MO
- NPI 1376279224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658448000000",
"number": "1447245378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14805 N OUTER 40 RD STE 140",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630176060",
"telephone_number": "636-733-7300",
"fax_number": "636-733-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14805 N OUTER 40 RD",
"address_2": "SUITE 140",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630176060",
"telephone_number": "636-733-7300",
"fax_number": "636-733-7334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORUM HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A",
"authorized_official_last_name": "HEBEL",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "636-733-7300",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MO",
"license": "005711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "607781606",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pharmacy@corumrx.com",
"affiliation": "N",
"address_1": "14805 N Outer 40 Rd",
"address_2": "Suite 140",
"city": "Chesterfield",
"state": "MO",
"country_code": "US",
"postal_code": "630176060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Corum Health Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Corum Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.