NPIMap

Organization Active NPI

Barnes Jewish Hospital

Doing business as Advanced Family Care Pharmacy

  • Clinic Pharmacy
  • Saint Louis, MO
National Provider Identifier
1750025565
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
BARNES JEWISH HOSPITAL
Doing business as
Advanced Family Care Pharmacy
Practice address
1234 S Kingshighway Blvd Ste 1900
Saint Louis, MO 63110-2170
Phone
(314) 657-9012
NPI assigned
Apr 27, 2022
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Paul Irovic
Title
Vice President
Phone
(314) 265-8874

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

1234 S Kingshighway Blvd Ste 1900
Saint Louis, MO 63110-2170

Mailing address

1 Barnes Jewish Hospital PLZ
Mailstop 90-71-307
Saint Louis, MO 63110

Other names 1

  • Advanced Family Care Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) Barnes Jewish Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230217002354 MO DME Supplier - Pharmacy 8426055815 Practice locations: Saint Louis, MO
O20240312002400 MO Part B Supplier - Mass Immunization (Roster Biller Only) 8426055815 Practice locations: Saint Louis, MO

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
BJC Behavioral Health S17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

1234 S Kingshighway Blvd
Ste 1900
Saint Louis, MO 63110
Phone (314) 657-9012

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Barnes Jewish St. Peters HospitalSaint Peters, MO, CCN 260191 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 24, 1996
Barnes Jewish West County HospitalSaint Louis, MO, CCN 260162 Hospital Other Sep 13, 1989
Barnes-Jewish HospitalSaint Louis, MO, CCN 260032 Hospital Operational/Managerial Control Sep 19, 2014
Barnes-Jewish Extended CareSaint Louis, MO, CCN 265439 Skilled nursing facility Operational/Managerial Control
Trustee of the SNF
Adp of the SNF		 May 11, 1992
May 11, 1992
May 11, 1992

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

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": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1750025565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "address_2": "MAILSTOP 90-71-307",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 S KINGSHIGHWAY BLVD STE 1900",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102170",
            "telephone_number": "314-657-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES JEWISH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "IROVIC",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-265-8874"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "BJC HealthCare",
            "affiliationName": "Barnes Jewish Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Barnes-Jewish Hospital Plz",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Family Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Family Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.