Medical West Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10803009 Issued in MO

Legal business name

MEDICAL WEST PHARMACY INC

Doing business as

Medical West Healthcare Center

Practice address

444 S Brentwood Blvd
Saint Louis, MO 63105-2521

Phone

(314) 725-1888

Fax

(314) 725-1444

NPI assigned

Dec 13, 2005

Last updated

Feb 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Alan Sandler

Title

President

Phone

(314) 725-1888

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• MEDICAL WEST HEALTHCARE CENTER Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Medical West Healthcare Center LLC

  dba Quipt Home Medical Clayton

  • Oxygen Equipment & Supplies (DME)
  • Clayton, MO
  • NPI 1922438449

  Member Of

  NPD member

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1902881956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 DIELMAN INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322204",
            "telephone_number": "314-993-7900",
            "fax_number": "314-569-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S BRENTWOOD BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052521",
            "telephone_number": "314-725-1888",
            "fax_number": "314-725-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WEST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "SANDLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-725-1888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "10803009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29775",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850200908",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620200907",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "105140",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8200064",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL WEST HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medicine for Medicine LLC
• Medicore Medical Service LLC

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.