Organization Active NPI

Mah Pharmacy LLC

Doing business as Evernorth EnGuide Pharmacy

  • Mail Order Pharmacy
  • Saint Louis, MO
National Provider Identifier
1700374808
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
2018008506 Issued in MO
Legal business name
MAH PHARMACY LLC
Doing business as
Evernorth EnGuide Pharmacy
Practice address
4600 N Hanley Rd
Suite C
Saint Louis, MO 63134-2715
Phone
(314) 522-5817
Fax
(314) 522-5818
NPI assigned
Apr 25, 2018
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Susan Peppers
Title
Assistant Secretary
Phone
(513) 858-4916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Mail Order Pharmacy 3336M0002X 2018008506 MO Primary

Addresses

Primary practice location

4600 N Hanley Rd
Suite C
Saint Louis, MO 63134-2715

Mailing address

4600 N Hanley Rd
Suite C
Saint Louis, MO 63134-2715
Phone (314) 522-5817

Other identifiers 1

IdentifierTypeStateIssuer
2177322OtherPK

Other names 2

  • Evernorth EnGuide Pharmacy Doing business as
  • CHD Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
CHD Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4600 N Hanley Rd
Ste C
Saint Louis, MO 63134
Phone (314) 522-5817

Practitioners & affiliated clinicians

Practitioners 1

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": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1700374808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N HANLEY RD",
            "address_2": "SUITE C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342715",
            "telephone_number": "314-522-5817",
            "fax_number": "314-522-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N HANLEY RD",
            "address_2": "SUITE C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342715",
            "telephone_number": "314-522-5817",
            "fax_number": "314-522-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2025-09-19",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "513-858-4916"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MO",
            "license": "2018008506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evernorth EnGuide Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHD Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CHD Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 19, 2025; 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.