Avalcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

AVALCARE INC

Practice address

10431 Clayton Rd
Saint Louis, MO 63131

Phone

(314) 254-2311

Fax

(314) 733-9091

NPI assigned

Mar 6, 2020

Organization subpart

No

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

Authorized official

Name

Abdul Rahman Almousalli

Title

Owner

Phone

(314) 624-5941

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Avalcare 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.

• Avalcare Inc

  • Long Term Care Pharmacy
  • Frontenac, MO
  • NPI 1609601707
  NPD tax ID

Locations

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1568097954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-254-2311",
            "fax_number": "314-733-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-254-2311",
            "fax_number": "314-733-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "ALMOUSALLI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "RAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-624-5941"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600054342",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Autry, AGNP-C
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• Sarah Auyong, OTD, OTR/L
• Ava Home Care LLC
• Avalon Hospice Missouri, LLC
• Avalon Memory Care, LLC
• Amer Avdagic, MD
• Avdic Pain & Rehab Clinic, LLC
• Adis Avdic, DC

• All providers in Saint Louis, MO
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.