Active NPI
Theresa Rose Prosser, PHARM.D.
- Pharmacotherapy Pharmacist
- Saint Louis, MO
National Provider Identifier
1891797619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PH042384
- Practice address
- 615 S New Ballas Rd
JFK Clinic/St. John's Mercy Medical Center
Saint Louis, MO 63141-8221 - Phone
- (314) 446-8529
- Fax
- (314) 446-8500
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PH042384 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
JFK Clinic/St. John's Mercy Medical Center
Saint Louis, MO 63141-8221
Mailing address
16004 Rose Wreath LN
Florissant, MO 63034-3425
Phone (314) 446-8529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH042384 | MO | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891797619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16004 ROSE WREATH LN",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630343425",
"telephone_number": "314-446-8529",
"fax_number": "314-446-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"address_2": "JFK CLINIC/ST. JOHN'S MERCY MEDICAL CENTER",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-446-8529",
"fax_number": "314-446-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSSER",
"first_name": "THERESA",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MO",
"license": "PH042384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Prorehab, PC
- Prorehab, PC (Athletico Physical Therapy)
- Prorehab, PC (Athletico Physical Therapy)
- Elizabeth Prosperi, PA
- Prosperity Healthcare LLC
- Daniel J Prost, CRNA
- Prosthetic and Orthotic Care LLC (P & O Care)
- Prosthetic Design Inc (Orthotic & Prosthetic Design Inc)
- Prosthetic Design Inc (Orthotic & Prosthetic Design Inc)
- Rachel Protzel, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.