Active NPI
Jennifer L Prater, PHARM.D
- Pharmacist
- Saint Peters, MO
National Provider Identifier
1750664751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2005011053
- Practice address
- 530 Mid Rivers Mall Dr
Saint Peters, MO 63376-2150 - Phone
- (636) 970-3222
- NPI assigned
- Sep 26, 2011
- Last updated
- May 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2005011053 | MO | Primary |
Addresses
Primary practice location
530 Mid Rivers Mall Dr
Saint Peters, MO 63376-2150
Mailing address
3497 Technology Dr
Lake St Louis, MO 63367-2599
Phone (636) 625-0691
Other practice location 1
4650 Highway K
O Fallon, MO 63368-8728
Phone (636) 329-9163
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005011053 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1750664751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3497 TECHNOLOGY DR",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633672599",
"telephone_number": "636-625-0691",
"fax_number": "636-625-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 MID RIVERS MALL DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762150",
"telephone_number": "636-970-3222"
}
],
"practiceLocations": [
{
"address_1": "4650 Highway K",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "MO",
"postal_code": "633688728",
"country_code": "US",
"telephone_number": "636-329-9163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRATER",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2005011053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
- Carla Jeanette Powderly, LPC
- Gary Dean Powell
- Kristin Powell
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
- Practice Management Affiliates Consulting Inc
- Danielle Marie Pratt, PHARMD
- Precision Plastic Surgery, PC St. Peters Office
- Preferred Family Healthcare, Inc. (Bridgeway Behavioral Health)
- Kayla Preiss
- Premium Adult Day Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.