Individual provider Active NPI

Suzanne Gielow Bollmeier, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Saint Louis, MO
National Provider Identifier
1609096007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
2000145979 Issued in MO
Practice address
4588 Parkview PL
Saint Louis, MO 63110-1029
Phone
(314) 446-8525
Fax
(314) 446-8500
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 2000145979 MO Primary

Addresses

Primary practice location

4588 Parkview PL
Saint Louis, MO 63110-1029

Mailing address

216 Eden Park Blvd
Shiloh, IL 62269-2987
Phone (314) 446-8524

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

LicenseStateTypeSpecialty
2000145979MOMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis College of Pharmacy Pharmacotherapy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609096007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 EDEN PARK BLVD",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692987",
            "telephone_number": "314-446-8524",
            "fax_number": "314-446-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 PARKVIEW PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101029",
            "telephone_number": "314-446-8525",
            "fax_number": "314-446-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLMEIER",
        "first_name": "SUZANNE",
        "middle_name": "GIELOW",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MO",
            "license": "2000145979",
            "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 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.

Verify at the official NPI Registry.