Organization Active NPI

Hunt Fitz Drug, Inc.

Doing business as Keller Apothecary

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1902836182
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
MO5619 Issued in MO
Legal business name
HUNT FITZ DRUG, INC.
Doing business as
Keller Apothecary
Practice address
5346 Devonshire Ave
Saint Louis, MO 63109-2304
Phone
(314) 352-5201
Fax
(314) 352-5205
NPI assigned
Jul 4, 2006
Last updated
Aug 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Mrs. Paula K. Weaver, RPHNPI 1205872595
Title
Owner/Pharmacist in Charge
Phone
(314) 352-5201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X MO5619 MO Primary

Addresses

Primary practice location

5346 Devonshire Ave
Saint Louis, MO 63109-2304

Mailing address

5346 Devonshire Ave
Saint Louis, MO 63109-2304
Phone (314) 352-5201

Other identifiers 1

IdentifierTypeStateIssuer
601425903MedicaidMO

Other names 1

  • Keller Apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

5346 Devonshire Ave
Saint Louis, MO 63109
Phone (314) 352-5201

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1902836182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 DEVONSHIRE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092304",
            "telephone_number": "314-352-5201",
            "fax_number": "314-352-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 DEVONSHIRE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092304",
            "telephone_number": "314-352-5201",
            "fax_number": "314-352-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNT FITZ DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "314-352-5201",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "MO5619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601425903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.