Guardian Pharmacy of St. Louis, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GUARDIAN PHARMACY OF ST. LOUIS, LLC

Practice address

926 S Highway Dr
Fenton, MO 63026-2023

Phone

(866) 860-4179

Fax

(866) 328-3491

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Doug Towns

Title

VP, GC & Senior Compliance Officer

Phone

(404) 727-5750

Specialties & licenses 1

Addresses

Other names 1

• Guardian Pharmacy of St. Louis, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1548733769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 11407 DEPT # 8072",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468072",
            "telephone_number": "404-389-1300",
            "fax_number": "866-328-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S HIGHWAY DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262023",
            "telephone_number": "866-860-4179",
            "fax_number": "866-328-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF ST. LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "TOWNS",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "VP, GC & SENIOR COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "404-727-5750"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of St. Louis, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Austin Green, MPT
• Mark W Grimm, M.D.
• Laura Elizabeth Grimmer, MD
• Madison Elise Grohne, PHARMD
• Cyrene D Grothaus-Day, MD
• Daniel Guerra, DMD
• Kristen Guilander, RD, LD
• Courtney Haas, DNP
• Natasja Haffner, LMSW
• Paige Cathleen Hagen, PHARMD

• Long Term Care Pharmacy in Fenton, MO
• Providers in Fenton, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.