FOUNDATION CARE LLC NPI 1205831963

NPI Information

  • NPI: 1205831963
  • Provider Name: FOUNDATION CARE LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: FOUNDATION CARE LLC
  • Address: 111 CHESTERFIELD INDUSTRIAL BLVD STE 115
    CHESTERFIELD, MO
    ZIP 63005
  • Phone: (877) 291-1122

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NPI Details

FOUNDATION CARE LLC is a pharmacy in Chesterfield, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. FOUNDATION CARE LLC NPI is 1205831963. The provider is registered as an organization entity type.
The provider Is Doing Business As Foundation Care Llc.

The provider's business location address is:

111 CHESTERFIELD INDUSTRIAL BLVD STE 115
CHESTERFIELD, MO
ZIP 63005-219
Phone: (877) 291-1122
Fax: (877) 291-1155

The provider's authorized official is Jessica Dawn Ciccolella-kahl .
The authorized official title is President, Director and has the following contact phone number (800) 511-5144.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 5/22/2024.

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
1251F00000XHome InfusionNo
2332B00000XDurable Medical Equipment & Medical Supplies2004013283MISSOURINo
3333600000XPharmacy2004013283MISSOURIYes
43336H0001XPharmacyHome Infusion Therapy PharmacyNo

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
12172192OTHERPK
2606143006MEDICAIDMISSOURI

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: 11/21/2025

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