Interlock Pharmacy Systems, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

INTERLOCK PHARMACY SYSTEMS, LLC

Doing business as

Omnicare of St. Louis #48284

Practice address

345 Dunn Rd
Florissant, MO 63031-7929

Phone

(314) 921-4242

Fax

(314) 921-3514

NPI assigned

Aug 31, 2006

Last updated

Mar 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of St. Louis #48284 Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Neighborcare Pharmacy Services, LLC

  dba Omnicare of San Antonio #48357

  • Long Term Care Pharmacy
  • San Antonio, TX
  • NPI 1174559694

  Member Of

  NPD member

Locations

Practitioners 9

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.

• David S. Chun, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Chesterfield, MO
  • NPI 1942262183
  NPD (past)
• Kyle John Dreier, PHARM.D.

  • Pharmacist
  • Saint Louis, MO
  • NPI 1497270086
  NPD (past)
• Brandon R Enghauser, PHARM. D.

  • Pharmacist
  • Florissant, MO
  • NPI 1215701057
  NPD (past)
• Angela Marie Enloe, RPH

  • Pharmacist
  • Florissant, MO
  • NPI 1982695623
  NPD (past)
• Justin Mulesa

  • Pharmacist
  • Florissant, MO
  • NPI 1346787835
  NPD (past)
• Chris Osterbur, PHARMACIST

  • Pharmacist
  • Florissant, MO
  • NPI 1730784844
  NPD (past)
• Ashwini Sabnis

  • Pharmacist
  • Florissant, MO
  • NPI 1114268331
  NPD (past)
• Derek B Smith, PHARM. D.

  • Pharmacist
  • Overland, MO
  • NPI 1457608655
  NPD (past)
• Sherria Wilborn-Morris, PHARMD

  • Pharmacist
  • Saint Louis, MO
  • NPI 1245355882
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1790896280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317929",
            "telephone_number": "314-921-4242",
            "fax_number": "314-921-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLOCK PHARMACY SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of St. Louis #48284",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Innovative Care Unlimited Health Agency, LLC (ICU Health Agency, LLC)
• Innovative Living Solutions
• Instant Help 314, LLC
• Integrated Mobile Lab, LLC
• Intentional Alternatives LLC
• Interpreting and Translating Services
• Interventional Pain Management Services LLC
• Interventional Pain Management Services LLC
• Intimate Care CDS LLC
• Intimate Care LLC (Intimate Care)

• Long Term Care Pharmacy in Florissant, MO
• Providers in Florissant, 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 Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.