Active NPI
Erica Korte, PHARMD
- Pharmacist
- Creve Coeur, MO
National Provider Identifier
1821525346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2016027339
- Practice address
- 628 N New Ballas Rd Ste a
Creve Coeur, MO 63141-6714 - Phone
- (314) 813-2160
- Fax
- (314) 813-2161
- NPI assigned
- May 15, 2017
- Last updated
- Mar 17, 2018
- 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 | 2016027339 | MO | Primary |
Addresses
Primary practice location
628 N New Ballas Rd Ste a
Creve Coeur, MO 63141-6714
Mailing address
628 N New Ballas Rd Ste a
Creve Coeur, MO 63141-6714
Phone (314) 813-2160
Other practice location 1
115 N Euclid Ave
Saint Louis, MO 63108-1503
Phone (314) 454-6676
Other names 1
- Erica Kozemczak
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 |
|---|---|---|---|
| 2016027339 | MO | MD | 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": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821525346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 N NEW BALLAS RD STE A",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416714",
"telephone_number": "314-813-2160",
"fax_number": "314-813-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 N NEW BALLAS RD STE A",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416714",
"telephone_number": "314-813-2160",
"fax_number": "314-813-2161"
}
],
"practiceLocations": [
{
"address_1": "115 N Euclid Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631081503",
"country_code": "US",
"telephone_number": "314-454-6676",
"fax_number": "314-367-1881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORTE",
"first_name": "ERICA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2016027339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "KOZEMCZAK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.