Barnes Jewish St Peters Hospital Inc

Key facts

NPI: 1689780595
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 1999138102 (MO)
Legal business name: BARNES JEWISH ST PETERS HOSPITAL INC
Practice address: 6 Jungermann Cir
Suite 115
Saint Peters, MO 63376-1621
Phone: (636) 916-9790
Fax: (636) 916-9714
NPI assigned: Aug 22, 2006
Organization subpart: No

Authorized official

Name: Darrell Birch, RPH
Title: Director of Pharmacy
Phone: (636) 916-9473

Corporate family (same tax ID) 2

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

Barnes Jewish St Peters Hospital Inc General Acute Care Hospital · Saint Peters, MO · NPI 1144238908

NPD tax ID
Barnes Jewish St. Peters Hospital Inc Clinical Medical Laboratory · Saint Peters, MO · NPI 1073121117

NPD tax ID

National Provider Directory

Tax ID family: Barnes St Peters Fam Me (3 organizations share this tax ID)

Locations

6 Jungermann Cir
Ste 115
Saint Peters, MO 63376
Phone (636) 916-9790

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	1999138102	MO	Yes

Addresses

Primary practice location

6 Jungermann Cir
Suite 115
Saint Peters, MO 63376-1621

Mailing address

6 Jungermann Cir
Suite 115
Saint Peters, MO 63376-1621

Other identifiers

Identifier	Type	State	Issuer
2632796	Other		NCPDP PROVIDER IDENTIFICATION NUMBER
604873703	Medicaid	MO

Other names

FAMILY CARE PHARMACY AT BARNES ST PETERS HOSPITAL Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 29, 2010.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1689780595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 115",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 115",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-916-9790",
            "fax_number": "636-916-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES JEWISH ST PETERS HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "636-916-9473",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "1999138102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2632796",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604873703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE PHARMACY AT BARNES ST PETERS HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

All providers in Saint Peters, MO · Community/Retail Pharmacy in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.