Active NPI
William F. Mitchell Jr., R.PH.
- Pharmacist
- Ste Genevieve, MO
National Provider Identifier
1588709794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028840
- Practice address
- 800 Ste. Genevieve Drive
Ste. Genevieve, MO 63670 - Phone
- (573) 883-7730
- Fax
- (573) 883-7734
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 028840 | MO | Primary |
Addresses
Primary practice location
800 Ste. Genevieve Drive
Ste. Genevieve, MO 63670
Mailing address
8860 Burntoak Dr.
St. Louis, MO 63123
Phone (314) 849-2168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028840 | Other | MO | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028840 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588709794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8860 BURNTOAK DR.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63123",
"telephone_number": "314-849-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 STE. GENEVIEVE DRIVE",
"city": "STE. GENEVIEVE",
"state": "MO",
"postal_code": "63670",
"telephone_number": "573-883-7730",
"fax_number": "573-883-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "WILLIAM",
"middle_name": "F.",
"name_suffix": "Jr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "028840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "028840",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ste Genevieve, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.