Organization Active NPI

Dierbergs Markets Inc

Doing business as Dierbergs Des Peres

  • Community/Retail Pharmacy
  • Des Peres, MO
National Provider Identifier
1710242292
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2012021344 Issued in MO
Legal business name
DIERBERGS MARKETS INC
Doing business as
Dierbergs Des Peres
Practice address
1080 Lindemann Rd
Des Peres, MO 63131-4526
Phone
(314) 238-0444
NPI assigned
Jul 10, 2012
Last updated
Apr 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Greg Guenther
Title
Dir of Phcy
Phone
(636) 812-1472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2012021344 MO Primary

Addresses

Primary practice location

1080 Lindemann Rd
Des Peres, MO 63131-4526

Mailing address

PO Box 1070
Chesterfield, MO 63006-1070
Phone (636) 812-1470

Other names 1

  • Dierbergs Des Peres Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1710242292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1070",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630061070",
            "telephone_number": "636-812-1470",
            "fax_number": "636-812-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 LINDEMANN RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314526",
            "telephone_number": "314-238-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIERBERGS MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "GUENTHER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIR OF PHCY",
        "authorized_official_telephone_number": "636-812-1472"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2012021344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dierbergs Des Peres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Peres, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.