Ashley Nazzoli, PHARMD
Individual provider Active NPI Pharmacist · Saint Louis, MO
NPI 1508375452 · NPPES record last updated Jan 29, 2021
Key facts
- NPI
- 1508375452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2012025398 (MO)
- Practice address
- 8931 Springdale Ave Ste a
Saint Louis, MO 63134-2400 - Phone
- (866) 997-3688
- NPI assigned
- Sep 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012025398 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Scripts Specialty Dist SVCS | Past | Accepting new patients | |
| Express Scripts Specialty Distribution Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2012025398 | MO | Yes |
Addresses
Primary practice location
8931 Springdale Ave Ste a
Saint Louis, MO 63134-2400
Mailing address
8931 Springdale Ave Ste a
Saint Louis, MO 63134-2400
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.