Polaris Specialty Pharmacy LLC
Organization Active NPI Long Term Care Pharmacy · Riverside, MO
NPI 1831903798 · NPPES record last updated Nov 10, 2025
Key facts
- NPI
- 1831903798
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- POLARIS SPECIALTY PHARMACY LLC
- Practice address
- 206 NW Plaza Dr Ste 206
Riverside, MO 64150-9574 - Phone
- (314) 549-6300
- Fax
- (816) 897-4105
- NPI assigned
- Feb 3, 2025
- Organization subpart
- No
Authorized official
- Name
- Regina Hunt
- Title
- Corporate Director of Compliance Co
- Phone
- (800) 589-9747
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231218002297 | MO | Part B Supplier - Pharmacy | 7517315666 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Riverside, MO |
| O20250812002449 | MO | DME Supplier - Pharmacy | 7517315666 | Practice locations: Riverside, MO |
National Provider Directory
- Tax ID family
- Premier Pharmacy Services
Locations
206 NW Plaza Dr
Riverside, MO 64150
Phone (314) 549-6300
206 NW Plaza Dr
Ste 206
Riverside, MO 64150
Phone (314) 549-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
206 NW Plaza Dr Ste 206
Riverside, MO 64150-9574
Mailing address
2900 NW 60TH St
Fort Lauderdale, FL 33309-1774
Phone (800) 589-9747
Other names
- Polaris Pharmacy Services of Missouri
Other providers in Riverside, MO
- Kirsten Osei
- Krishna Patel
- Phillips Family Pharmacy, LLC
- Pinnacle Point Wellness & Rehabilitation LLC
- Polaris Specialty Pharmacy LLC
- Jessie Brei Riojas
- Riverside Nursing and Rehabilitation Center LLC
- Riverside Pharmacy Associates, LLC
- Riverside Pharmacy Associates, LLC
- Abigail Hardy Rives
All providers in Riverside, MO · Long Term Care Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.