Experiencedrx LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EXPERIENCEDRX LLC

Practice address

700 Crown Industrial CT
Suite N and O
Chesterfield, MO 63005-1128

Phone

(636) 448-1362

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Kelly M Hall

Title

Pic

Phone

(636) 448-1362

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466899200000",
    "number": "1518318203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CROWN INDUSTRIAL CT",
            "address_2": "SUITE N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051128",
            "telephone_number": "636-448-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CROWN INDUSTRIAL CT",
            "address_2": "SUITE N AND O",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051128",
            "telephone_number": "636-448-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCEDRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "636-448-1362"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exablate of St Louis, LLC
• Excel Orthopedics LLC
• Excelsior Family Chiropractic LLC
• Exceptional Home Health, LLC
• Experienced in-Home Care & Assistance LLC (Experienced In-Home Care & Assistance)
• Eye & Vision Regeneration Group, P.C.
• Eye Care Charity of Mid-America
• F & G Group, Inc.
• Aboud Tony a. Fahel, MD
• Mari Anne Fahrner, M.D.

• Community/Retail Pharmacy in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; 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.