Forest Park Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2007014550 Issued in MO

Legal business name

FOREST PARK PHARMACY

Practice address

3535 S. Jefferson Ave
Ste (S-1)
St Louis, MO 63118

Phone

(314) 645-9990

Fax

(314) 645-9989

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Amira Jahic

Title

Vice President

Phone

(314) 645-9990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FOREST PARK PHARMACY Doing business as

Tax ID family

Forest Park Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Forest Park Pharmacy Inc

  • Community/Retail Pharmacy
  • Fairview Heights, IL
  • NPI 1952857567
  NPD tax ID

Locations

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1659576205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SOUTH JEFFERSON AVE",
            "address_2": "STE S-1",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631183900",
            "telephone_number": "314-645-9990",
            "fax_number": "314-645-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S. JEFFERSON AVE",
            "address_2": "STE (S-1)",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63118",
            "telephone_number": "314-645-9990",
            "fax_number": "314-645-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PARK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "JAHIC",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-645-9990"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2007014550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2637429",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREST PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forest Park Hospital Corporation
• Forest Park Hospital Corporation #1
• Forest Park Hospital Corpporation #1
• Forest Park Medical Clinic Inc
• Forest Park Pediatrics, P.C.
• Forever Family Care Services LLC
• Forever Young Health Services LLC
• Forget Me Not Senior Services LLC
• Nickole Hoffman Forget, MD
• Thomas Robert Forget Jr., M.D.

• Community/Retail Pharmacy in St Louis, MO
• Providers in St Louis, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.