Organization Active NPI

Sai Apothecary LLC

Doing business as Excel Pharmacy

  • Community/Retail Pharmacy
  • Saint Peters, MO
National Provider Identifier
1851436489
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2018005551 Issued in MO
Legal business name
SAI APOTHECARY LLC
Doing business as
Excel Pharmacy
Practice address
505 Salt Lick Road
Saint Peters, MO 63376
Phone
(636) 278-6561
Fax
(636) 278-4754
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Keta Jhala
Title
Owner
Phone
(817) 891-6967

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 05790 MO
Community/Retail Pharmacy 3336C0003X 2018005551 MO Primary

Addresses

Primary practice location

505 Salt Lick Road
Saint Peters, MO 63376

Mailing address

505 Salt Lick Road
Saint Peters, MO 63376
Phone (636) 278-6561

Other identifiers 2

IdentifierTypeStateIssuer
600309900MedicaidMO
2613506OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Excel Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Excel Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

505 Salt Lick Rd
Saint Peters, MO 63376
Phone (636) 278-6561

Practitioners & affiliated clinicians

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1851436489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SALT LICK ROAD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-278-6561",
            "fax_number": "636-278-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SALT LICK ROAD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-278-6561",
            "fax_number": "636-278-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "JHALA",
        "authorized_official_first_name": "KETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-891-6967"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "05790",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2018005551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600309900",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2613506",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.