Organization Active NPI

Sefora Enterprises LLC

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1447906771
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SEFORA ENTERPRISES LLC
Doing business as
SEFORA PHARMACY
Practice address
5819 S Lindbergh Blvd
Saint Louis, MO 63123-6948
Phone
(636) 373-7966
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Dr. Suneetha MareNPI 1457007049
Title
President
Phone
(636) 373-7966

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5819 S Lindbergh Blvd
Saint Louis, MO 63123-6948

Mailing address

6 Waterfront GRV
Saint Charles, MO 63303-4816
Phone (636) 373-7966

Other names 1

  • SEFORA PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412002203 MO Part B Supplier - Pharmacy 8325434723 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

5819 S Lindbergh Blvd
Saint Louis, MO 63123
Phone (314) 200-9395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1447906771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WATERFRONT GRV",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034816",
            "telephone_number": "636-373-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236948",
            "telephone_number": "636-373-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEFORA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MARE",
        "authorized_official_first_name": "SUNEETHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-373-7966",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEFORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 24, 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.