NPIMap

Organization Active NPI

Betty Jean Kerr People's Health Centers

Doing business as Peoples Health Center Pharmacy

  • Clinic Pharmacy
  • Saint Louis, MO
National Provider Identifier
1578608808
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
005971 Issued in MO
Legal business name
BETTY JEAN KERR PEOPLE'S HEALTH CENTERS
Doing business as
Peoples Health Center Pharmacy
Practice address
5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone
(314) 367-7848
Fax
(314) 367-4849
NPI assigned
Feb 21, 2007
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Mark Sanford
Title
Evp
Phone
(314) 367-7848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 005971 MO Primary

Addresses

Primary practice location

5701 Delmar Blvd
Saint Louis, MO 63112-2617

Mailing address

5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone (314) 367-7848

Other identifiers 2

IdentifierTypeStateIssuer
2047509OtherPK
600543300MedicaidMO

Other names 1

  • Peoples Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peoples Clinic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1578608808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122617",
            "telephone_number": "314-367-7848",
            "fax_number": "314-367-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 DELMAR BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122617",
            "telephone_number": "314-367-7848",
            "fax_number": "314-367-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY JEAN KERR PEOPLE'S HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "314-367-7848"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MO",
            "license": "005971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047509",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600543300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoples Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 23, 2019; 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.