Organization Active NPI

Debbie S Pharmacy LLC

  • Pharmacy
  • Hazelwood, MO
National Provider Identifier
1821600545
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Aug 24, 2020

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

Authorized official

Name
Ms. Debra Lee Ann Milligan, RPHNPI 1457567513
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20210929001543 MO Part B Supplier - Pharmacy 3971900234 Practice locations: Hazelwood, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.