Active NPI
Amy Carole Dewein, R.PH., PHARM.D, MHS
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1710983168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2005003710
- Practice address
- 25 Somerset Downs
Saint Louis, MO 63124-1007 - Phone
- (314) 308-0911
- NPI assigned
- Jun 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-040259 | IL | |
| Pharmacist | 183500000X | 17353 | IA | |
| Pharmacist | 183500000X | 2005003710 | MO | Primary |
Addresses
Primary practice location
25 Somerset Downs
Saint Louis, MO 63124-1007
Mailing address
25 Somerset Downs
Saint Louis, MO 63124-1007
Phone (314) 308-0911
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
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17353 | IA | MD | Pharmacist |
| 051-040259 | IL | MD | Pharmacist |
| 2005003710 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forum RX Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Chesterfield, MO
- NPI 1891027769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1710983168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 SOMERSET DOWNS",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241007",
"telephone_number": "314-308-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SOMERSET DOWNS",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241007",
"telephone_number": "314-308-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWEIN",
"first_name": "AMY",
"middle_name": "CAROLE",
"name_prefix": "Dr.",
"credential": "R.PH., PHARM.D, MHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-040259",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17353",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2005003710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.