Bwell Pharmacy South LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BWELL PHARMACY SOUTH LLC

Practice address

5000 Cedar Plaza Pkwy Ste 200
Saint Louis, MO 63128-3857

Phone

(314) 292-7388

Fax

(314) 467-4988

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Naveen Khan, RPH.NPI 1447019484

Title

Pharmacist in Charge

Phone

(314) 292-7388

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naveen Khan, RPH.

  • Pharmacist
  • Saint Louis, MO
  • NPI 1447019484
  NPD Authorized official

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1780460238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283857",
            "telephone_number": "314-292-7388",
            "fax_number": "314-467-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283857",
            "telephone_number": "314-292-7388",
            "fax_number": "314-467-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWELL PHARMACY SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "314-292-7388",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Buxton, MD
• Luz A Bwanga Mabonghot
• Bwell Pharmacy Kennerly LLC
• Bwell Pharmacy LLC
• Bwell Pharmacy South LLC
• Umaree Bybee, NP-C
• Christine Bye
• Derek Ernest Byers, MD
• Jennifer Michaela Byers
• Lashonda Byers

• Long Term Care Pharmacy in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.