NPIMap

Organization Active NPI

Schnuck Markets Inc

Doing business as Schnucks Pharmacy 399

  • Community/Retail Pharmacy
  • Bridgeton, MO
National Provider Identifier
1841508041
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SCHNUCK MARKETS INC
Doing business as
Schnucks Pharmacy 399
Practice address
12921 Enterprise Way
Bridgeton, MO 63044-1206
Phone
(314) 344-9201
NPI assigned
Sep 22, 2010
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SCHNUCK MARKETS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Lisa Dobbs
Title
MGR 3Rd Party Claims
Phone
(314) 994-4902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12921 Enterprise Way
Bridgeton, MO 63044-1206

Mailing address

11420 Lackland Rd
Saint Louis, MO 63146-3559

Other names 1

  • SCHNUCKS PHARMACY 399 Doing business as

National Provider Directory

National Provider Directory
Part of
Schnucks Pharmacy 107

Locations

12921 Enterprise Way
Bridgeton, MO 63044
Phone (314) 344-9200

11420 Lackland Rd
Saint Louis, MO 63146
Phone (314) 994-4705

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1841508041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 LACKLAND RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 ENTERPRISE WAY",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630441206",
            "telephone_number": "314-344-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHNUCK MARKETS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHNUCK MARKETS INC",
        "enumeration_date": "2010-09-22",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MGR 3RD PARTY CLAIMS",
        "authorized_official_telephone_number": "314-994-4902"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHNUCKS PHARMACY 399",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCHNUCKS PHARMACY 399",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.