Barnes Jewish Hospital
Organization Active NPI Clinic Pharmacy · Saint Louis, MO
NPI 1871609784 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1871609784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- License
- 5932 (MO)
- Legal business name
- BARNES JEWISH HOSPITAL
- Practice address
- 1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003 - Phone
- (314) 657-9006
- Fax
- (314) 747-9920
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Paul Irovic
- Title
- VP, Cfo
- Phone
- (314) 362-0601
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 15
Practitioners 2
-
Azadeh Afshari, DDS
-
Vadim Yuri Baram, MD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Barnes Jewish Hospital Pharmacy |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Barnes Jewish St. Peters Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 24, 1996 |
| Barnes Jewish West County Hospital |
Hospital | Other | Sep 13, 1989 |
| Barnes-Jewish Hospital |
Hospital | Operational/Managerial Control | Sep 19, 2014 |
| Barnes-Jewish Extended Care |
Skilled nursing facility | Operational/Managerial Control Trustee of the SNF Adp of the SNF |
May 11, 1992 May 11, 1992 May 11, 1992 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170525000111 | MO | DME Supplier - Pharmacy | 8426055815 | Practice locations: Saint Louis, MO |
National Provider Directory
- Tax ID family
- BJC Behavioral Health S
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | 5932 | MO | Yes |
| Community/Retail Pharmacy | 3336C0003X | |||
| Institutional Pharmacy | 3336I0012X |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Saint Louis, MO 63110-1003
Mailing address
1 Barnes Jewish Hospital PLZ
Mailstop 90-52-411
Saint Louis, MO 63110-1003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047145 | Other | PK | |
| 600724223 | Medicaid | MO |
Other names
- Family Care Pharmacy at Barnes-Jewish Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Other providers in Saint Louis, MO
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish West County Hospital
- Barnes Jweish Hospital
All providers in Saint Louis, MO · Clinic 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 Oct 12, 2021. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.