Organization Active NPI

Christopher M Geronsin Inc.

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1467488056
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029703 Issued in MO
Legal business name
CHRISTOPHER M GERONSIN INC.
Doing business as
Beverly Hills Pharmacy
Practice address
7150 Natural Bridge Rd
Saint Louis, MO 63121-5151
Phone
(314) 381-8600
Fax
(314) 381-6844
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Mr. Christopher M. Geronsin, RPH
Title
President
Phone
(314) 381-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029703 MO Primary

Addresses

Primary practice location

7150 Natural Bridge Rd
Saint Louis, MO 63121-5151

Mailing address

7150 Natural Bridge Rd
Saint Louis, MO 63121-5151
Phone (314) 381-8600

Other identifiers 2

IdentifierTypeStateIssuer
620201202MedicaidMO
600201206MedicaidMO

Other names 1

  • Beverly Hills Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131109000203 MO Part B Supplier - Mass Immunization (Roster Biller Only) 3678690294 Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1467488056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 NATURAL BRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215151",
            "telephone_number": "314-381-8600",
            "fax_number": "314-381-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 NATURAL BRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215151",
            "telephone_number": "314-381-8600",
            "fax_number": "314-381-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER M GERONSIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "GERONSIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-381-8600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "029703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620201202",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600201206",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Hills 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 Mar 20, 2015; 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.