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MEDICAL WEST PHARMACY INC NPI 1104066778


NPI Information

NPI: 1104066778
Provider Name: MEDICAL WEST PHARMACY, INC

Doing Business As: MEDICAL WEST HEALTHCARE CENTER

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
19 RONNIES PLZ
SAINT LOUIS, MO
ZIP 63126
Phone: (314) 290-2200
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MEDICAL WEST PHARMACY, INC is a durable medical equipment medical supplies in Saint Louis, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDICAL WEST PHARMACY, INC NPI is 1104066778. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical West Healthcare Center.

The provider's business location address is:

19 RONNIES PLZ
SAINT LOUIS, MO
ZIP 63126-552
Phone: (314) 290-2200
Fax: (314) 902-2220

The provider's authorized official is Kenneth Alan Sandler .
The authorized official title is President and has the following contact phone number (314) 993-7900.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 6/11/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities850200908MISSOURINo
2332B00000XDurable Medical Equipment & Medical Supplies10803009MISSOURIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1181658OTHERMISSOURIANTHEM BLUE CROSS BLUE SHIELD
2620200907MEDICAIDMISSOURI
30261560003MEDICARE NSCMISSOURI
4612829OTHERHEALTHLINK

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: 5/5/2024

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