Individual provider Active NPI

Dana Gaal, PHARMD

  • Pharmacist
  • Fenton, MO
National Provider Identifier
1740964352
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2015025600 Issued in MO
Practice address
1617 Manufacturers Dr
Fenton, MO 63026-2838
Phone
(314) 690-4500
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2015025600 MO Primary

Addresses

Primary practice location

1617 Manufacturers Dr
Fenton, MO 63026-2838

Mailing address

1617 Manufacturers Dr
Fenton, MO 63026-2838

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

State licenses

LicenseStateTypeSpecialty
2015025600MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri LTC Pharmacy LLC CurrentSince Jun 18, 2023 Accepting new patients
Missouri LTC Pharmacy LLC PastSince Jun 18, 2023 Accepting new patients

Locations

1617 Manufacturers Dr
Fenton, MO 63026
Phone (314) 690-4500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1740964352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 MANUFACTURERS DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 MANUFACTURERS DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262838",
            "telephone_number": "314-690-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAAL",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2015025600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.