NPIMap

Organization Active NPI

Polaris Specialty Pharmacy LLC

Doing business as Polaris Specialty RX

  • Specialty Pharmacy
  • Riverside, MO
National Provider Identifier
1538529698
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
POLARIS SPECIALTY PHARMACY LLC
Doing business as
Polaris Specialty RX
Practice address
206 NW Plaza Dr Ste 206
Riverside, MO 64150-9574
Phone
(314) 549-6300
Fax
(816) 897-4105
NPI assigned
Mar 2, 2016
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Regina Hunt
Title
Corporate Director of Compliance, C
Phone
(800) 589-9747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

206 NW Plaza Dr Ste 206
Riverside, MO 64150-9574

Mailing address

2900 NW 60TH St
Fort Lauderdale, FL 33309-1774
Phone (800) 589-9747

Other identifiers 1

IdentifierTypeStateIssuer
2158481OtherPK

Other names 1

  • Polaris Specialty RX Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231218002297 MO Part B Supplier - Pharmacy 7517315666 1 other NPI on this enrollment
Practice locations: Riverside, MO

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Good Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

410 Cloverleaf Dr
Baldwin Park, CA 91706
Phone (626) 626-9400

206 NW Plaza Dr
Ste 206
Riverside, MO 64150
Phone (314) 549-6300

1943 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 692-8889

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1538529698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NW 60TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091774",
            "telephone_number": "800-589-9747",
            "fax_number": "954-923-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NW PLAZA DR STE 206",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509574",
            "telephone_number": "314-549-6300",
            "fax_number": "816-897-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF COMPLIANCE, C",
        "authorized_official_telephone_number": "800-589-9747"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158481",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polaris Specialty RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.