Organization Active NPI

SSM-Sluh, Inc.

Doing business as SSM Health Pharmacy at Saint Louis University Hospital

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1629695838
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SSM-SLUH, INC.
Doing business as
SSM Health Pharmacy at Saint Louis University Hospital
Practice address
1225 S Grand Blvd
Saint Louis, MO 63104-1016
Phone
(314) 268-7153
Fax
(314) 268-5166
NPI assigned
Jul 3, 2020
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Jeremy Fotheringham
Title
Regional President
Phone
(557) 203-4048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1225 S Grand Blvd
Saint Louis, MO 63104-1016

Mailing address

1225 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 257-3450

Other names 1

  • SSM Health Pharmacy at Saint Louis University Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210318002706 MO DME Supplier - Pharmacy 9436465358 Practice locations: Saint Louis, MO

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
SSM Health Pharmacy at St Louis1225 South Grand Blvd, Saint Louis, MO 63104(314) 257-3450 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 5, 2020

National Provider Directory

National Provider Directory

Locations

1225 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-3390

1225 S Grand Blvd
Fl 1
Saint Louis, MO 63104
Phone (314) 257-3390

1755 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 256-3400

3635 Vista Ave
#3L
Saint Louis, MO 63110

3635 Vista Ave
Fl 1
Saint Louis, MO 63110
Phone (314) 577-8780

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1629695838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041016",
            "telephone_number": "314-257-3450",
            "fax_number": "314-257-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041016",
            "telephone_number": "314-268-7153",
            "fax_number": "314-268-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM-SLUH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "FOTHERINGHAM",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "REGIONAL PRESIDENT",
        "authorized_official_telephone_number": "557-203-4048"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Pharmacy at Saint Louis University Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health Pharmacy at Saint Louis University Hospital",
            "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 Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.