Active NPI
Maura Elizabeth Mullady, PHARM. D.
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1568744266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2010022986
- Practice address
- 2248 Welsch Industrial CT
Saint Louis, MO 63146-4222 - Phone
- (314) 356-9830
- Fax
- (314) 356-9850
- NPI assigned
- Sep 19, 2011
- Last updated
- Jul 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2010022986 | MO | Primary |
Addresses
Primary practice location
2248 Welsch Industrial CT
Saint Louis, MO 63146-4222
Mailing address
3715 Runnymede Dr
Saint Charles, MO 63301-4513
Phone (314) 602-3706
Other practice location 1
12661 Olive Blvd
Creve Coeur, MO 63141-6333
Phone (314) 878-4413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010022986 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Symbria RX Services St. Louis, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Saint Louis, MO
- NPI 1730655747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1568744266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 RUNNYMEDE DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633014513",
"telephone_number": "314-602-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2248 WELSCH INDUSTRIAL CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464222",
"telephone_number": "314-356-9830",
"fax_number": "314-356-9850"
}
],
"practiceLocations": [
{
"address_1": "12661 Olive Blvd",
"address_purpose": "LOCATION",
"city": "Creve Coeur",
"state": "MO",
"postal_code": "631416333",
"country_code": "US",
"telephone_number": "314-878-4413",
"fax_number": "314-878-8055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLADY",
"first_name": "MAURA",
"middle_name": "ELIZABETH",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2024-07-12",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2010022986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.