Organization Active NPI

Corum Health Services, Inc.

Doing business as Corum Health Services

  • Long Term Care Pharmacy
  • Chesterfield, MO
National Provider Identifier
1447245378
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
005711 Issued in MO
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Steven Kenneth Hebel, RPHNPI 1194450155
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
607781606MedicaidMO

Other names 1

  • Corum Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pharmacy@corumrx.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107001346 MO Part B Supplier - Pharmacy 9830502038 Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.