NPIMap

Organization Active NPI

St Lukes Episcopal Presbyterian Hospital

  • Community/Retail Pharmacy
  • Chesterfield, MO
National Provider Identifier
1861483232
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2008006745 Issued in MO
Legal business name
ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL
Practice address
224 S Woods Mill Rd
Ste 350
Chesterfield, MO 63017-3513
Phone
(314) 205-6023
Fax
(314) 205-6496
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Richard Fook
Title
Phcy Director
Phone
(314) 205-6291

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2008006745 MO Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

224 S Woods Mill Rd
Ste 350
Chesterfield, MO 63017-3513

Mailing address

224 S Woods Mill Rd
Ste 350
Chesterfield, MO 63017-3513
Phone (314) 205-6023

Other identifiers 2

IdentifierTypeStateIssuer
2050965OtherPK
602456006MedicaidMO

Other names 1

  • ST LUKES PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Steven F Willey MD11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1861483232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE 350",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173513",
            "telephone_number": "314-205-6023",
            "fax_number": "314-205-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE 350",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173513",
            "telephone_number": "314-205-6023",
            "fax_number": "314-205-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "FOOK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHCY DIRECTOR",
        "authorized_official_telephone_number": "314-205-6291"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2008006745",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050965",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602456006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST LUKES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.