Active NPI
Robert Allen
- Pharmacist
- Saint Charles, MO
National Provider Identifier
1679178073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2020032364
- Practice address
- 1900 1St Capitol Dr
Saint Charles, MO 63301-1609 - Phone
- (636) 524-1431
- NPI assigned
- Dec 2, 2020
- Last updated
- Dec 2, 2020
- 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 | 2020032364 | MO | Primary |
Addresses
Primary practice location
1900 1St Capitol Dr
Saint Charles, MO 63301-1609
Mailing address
722 Lorillard St
Saint Peters, MO 63376-2416
Phone (636) 524-1431
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020032364 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1679178073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 LORILLARD ST",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762416",
"telephone_number": "636-524-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 1ST CAPITOL DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633011609",
"telephone_number": "636-524-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2020032364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.