Active NPI
Laurie J Henke, RPH
- Pharmacist
- Weldon Spring, MO
National Provider Identifier
1770866774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041228
- Practice address
- 1003 Wolfrum Rd
Weldon Spring, MO 63304-7625 - Phone
- (636) 300-0158
- Fax
- (636) 300-0172
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 041228 | MO | Primary |
Addresses
Primary practice location
1003 Wolfrum Rd
Weldon Spring, MO 63304-7625
Mailing address
1003 Wolfrum Rd
Weldon Spring, MO 63304-7625
Phone (636) 300-0158
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
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1316995200000",
"number": "1770866774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 WOLFRUM RD",
"city": "WELDON SPRING",
"state": "MO",
"postal_code": "633047625",
"telephone_number": "636-300-0158",
"fax_number": "636-300-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 WOLFRUM RD",
"city": "WELDON SPRING",
"state": "MO",
"postal_code": "633047625",
"telephone_number": "636-300-0158",
"fax_number": "636-300-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKE",
"first_name": "LAURIE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "041228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weldon Spring, MO
- Hartmann Wellness LLC
- Kimberly Hartmann, D.C.
- Health Care Practice Consultants (Weldon Spring Clinic)
- Health Care Practice Consultants (Weldon Spring Chiropractic Clinic)
- Rebecca Susan Heck, M.ED.
- Jaclyn L Hoelscher, DC
- Hopeways Counseling LLC
- Judith N Ibidokun, BSN, RN
- Muhammad Idrees, APRN
- Image Eye Care, LLC (Image Eye Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.