Individual provider Active NPI

Pete Anthony Lo Grasso

  • Pharmacist
  • Saint Charles, MO
National Provider Identifier
1689947087
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
026943 Issued in MO
Practice address
2971 Sylvan LN
Saint Charles, MO 63301-0384
Phone
(636) 947-6072
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 026943 MO Primary

Addresses

Primary practice location

2971 Sylvan LN
Saint Charles, MO 63301-0384

Mailing address

2971 Sylvan Lane
Saint Charles, MO 63301
Phone (636) 947-6072

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

LicenseStateTypeSpecialty
026943MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1689947087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 SYLVAN LANE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "63301",
            "telephone_number": "636-947-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 SYLVAN LN",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633010384",
            "telephone_number": "636-947-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO GRASSO",
        "first_name": "PETE",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "026943",
            "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 Feb 15, 2012; 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.