Active NPI
Debbie S Pharmacy LLC
- Pharmacy
- Hazelwood, MO
National Provider Identifier
1821600545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- DEBBIE S PHARMACY LLC
- Practice address
- 815 Hazelwest Dr Ste 100
Hazelwood, MO 63042-1762 - Phone
- (314) 895-3300
- Fax
- (314) 451-8585
- NPI assigned
- Aug 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debra Lee Ann Milligan, RPH
- Title
- President/Owner
- Phone
- (314) 482-7897
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
815 Hazelwest Dr Ste 100
Hazelwood, MO 63042-1762
Mailing address
102 Barton Creek Blvd
Wentzville, MO 63385-3149
Phone (314) 482-7897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210929001543 | MO | Part B Supplier - Pharmacy | 3971900234 | Practice locations: Hazelwood, MO |
National Provider Directory
National Provider DirectoryLocations
815 Hazelwest Dr
Ste 100
Hazelwood, MO 63042
Phone (314) 895-3300
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hazelwood, MO
- NPI 1457567513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598227200000",
"number": "1821600545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BARTON CREEK BLVD",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853149",
"telephone_number": "314-482-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 HAZELWEST DR STE 100",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421762",
"telephone_number": "314-895-3300",
"fax_number": "314-451-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBBIE S PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A",
"authorized_official_last_name": "MILLIGAN",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "LEE ANN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "314-482-7897",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazelwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.