Michael Edward Patterson III

Primary specialty

PharmacistTaxonomy code 183500000X

License

2020032441 Issued in MO

Practice address

8660 Veterans Memorial Pkwy
O Fallon, MO 63366-7537

Phone

(636) 978-3568

NPI assigned

Jun 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1710555347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 VETERANS MEMORIAL PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 VETERANS MEMORIAL PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667537",
            "telephone_number": "636-978-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303379",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2020032441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED PHARMACIST IL",
            "identifier": "051303379",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST MO",
            "identifier": "2020032441",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "18021@cvshealth.com",
            "affiliation": "N",
            "address_1": "8660 Veterans Memorial Pkwy",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633667537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "18021@cvshealth.com",
            "affiliation": "N",
            "address_1": "8660 Veterans Memorial Pkwy",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633667537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley John Parks, PHARMD
• Sarah Ellen Parson, M.S CCC-SLP
• John Pastorek, DMD
• Sarah Patriarca
• Kathleen A Patrick, MA,LPC
• Ronald Edward Patterson, CRNFA, CNOR
• Billi J Patzius, PHD
• Andrew Jonathan Pawloski
• Maggie Mae Pawlowski, PT, DPT
• Paws and Play Counseling LLC

• Pharmacist in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.