Active NPI
Maria Ngo, PHARMD
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1609354455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57988
- Practice address
- 12332 Manchester Rd
Saint Louis, MO 63131-4315 - Phone
- (314) 965-0062
- NPI assigned
- Aug 3, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2020017118 | MO | |
| Pharmacist | 183500000X | 051.303338 | IL | |
| Pharmacist | 183500000X | PS57988 | FL | Primary |
Addresses
Primary practice location
12332 Manchester Rd
Saint Louis, MO 63131-4315
Mailing address
2748 Hilda CT
Orlando, FL 32826-3841
Other practice location 1
12231 E Colonial Dr
Orlando, FL 32826-4759
Phone (407) 380-3148
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051.303338 | Other | IL | PHARMACIST LICENSE |
| 2020017118 | Other | MO | PHARMACIST LICENSE |
| PS57988 | Other | FL | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| PS57988 | FL | MD | Pharmacist |
| 051.303338 | IL | MD | Pharmacist |
| 2020017118 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1609354455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2748 HILDA CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328263841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12332 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631314315",
"telephone_number": "314-965-0062"
}
],
"practiceLocations": [
{
"address_1": "12231 E Colonial Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328264759",
"country_code": "US",
"telephone_number": "407-380-3148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGO",
"first_name": "MARIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2020017118",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.303338",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "051.303338",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "2020017118",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "PS57988",
"state": "FL"
}
],
"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 Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.