Organization Active NPI

Aspire RX LLC

Doing business as St. Louis Pharmacy

  • Community/Retail Pharmacy
  • Saint Louis, MI
National Provider Identifier
1497050454
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009499 Issued in MI
Legal business name
ASPIRE RX LLC
Doing business as
St. Louis Pharmacy
Practice address
116 N Mill St
Saint Louis, MI 48880-1521
Phone
(989) 681-6633
Fax
(989) 681-6644
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Jim Horton
Title
President
Phone
(989) 621-1534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009499 MI Primary

Addresses

Primary practice location

116 N Mill St
Saint Louis, MI 48880-1521

Mailing address

121 E Broadway St
Ste. E
Mount Pleasant, MI 48858-2312
Phone (989) 773-4879

Other identifiers 2

IdentifierTypeStateIssuer
2374899MedicaidMI
2374899OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • St. Louis Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

121 E Broadway St
Ste E
Mount Pleasant, MI 48858

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1497050454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E BROADWAY ST",
            "address_2": "STE. E",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582312",
            "telephone_number": "989-773-4879",
            "fax_number": "989-773-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MILL ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801521",
            "telephone_number": "989-681-6633",
            "fax_number": "989-681-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-621-1534"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374899",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.