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LONG TERM CARE RX INC. NPI 1023173986


NPI Information

NPI: 1023173986
Provider Name: LONG TERM CARE RX, INC.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1A DOCUMENT DR
SAINT LOUIS, MO
ZIP 63114
Phone: (314) 961-4405
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LONG TERM CARE RX, INC. is a long term care pharmacy pharmacy in Saint Louis, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LONG TERM CARE RX, INC. NPI is 1023173986. The provider is registered as an organization entity type.

The provider's business location address is:

1A DOCUMENT DR
SAINT LOUIS, MO
ZIP 63114
Phone: (314) 961-4405
Fax: (314) 961-4010

The provider's authorized official is James A Anderson .
The authorized official title is President/owner and has the following contact phone number (314) 961-4405.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 4/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy004811MISSOURINo
23336C0004XPharmacyCompounding Pharmacy004811MISSOURINo
33336H0001XPharmacyHome Infusion Therapy Pharmacy004811MISSOURINo
43336L0003XPharmacyLong Term Care Pharmacy004811MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1629752809MEDICAIDMISSOURI
2870022094MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMISSOURI MEDICARE
3600124903MEDICAIDMISSOURI
40698620001MEDICARE NSCMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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