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FAMILY CARE HEALTH CENTERS PHARMACY NPI 1700863180


NPI Information

NPI: 1700863180
Provider Name: FAMILY CARE HEALTH CENTERS PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 26D0908943

Address:
401 HOLLY HILLS AVE
SAINT LOUIS, MO
ZIP 63111
Phone: (314) 481-1615
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FAMILY CARE HEALTH CENTERS PHARMACY is a pharmacy in Saint Louis, 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. FAMILY CARE HEALTH CENTERS PHARMACY NPI is 1700863180. The provider is registered as an organization entity type.

The provider's business location address is:

401 HOLLY HILLS AVE
SAINT LOUIS, MO
ZIP 63111-410
Phone: (314) 481-1615
Fax: (314) 353-1310

The provider's authorized official is Kevin Maddox .
The authorized official title is Chief Financial Officer and has the following contact phone number (314) 481-1615.

The CLIA number assigned to this NPI record is 26D0908943 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/28/2005 and was last updated on 10/29/2020.


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
1333600000XPharmacy2003004144MISSOURIYes

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
12634978OTHERMISSOURINCPDP
2BF8182254OTHERMISSOURIDEA NUMBER
3606023604MEDICAIDMISSOURI
42003004144OTHERMISSOURIMISSOURI PHARMACY LICENSE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.