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CHRISTIAN HOSPITAL NORTHEAST NORTHWEST NPI 1962518878


NPI Information

NPI: 1962518878
Provider Name: CHRISTIAN HOSPITAL NORTHEAST NORTHWEST

Doing Business As: FAMILY CARE PHARMACY AT CHRISTIAN HOSPITAL

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 26D1102805

Address:
11125 DUNN RD
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 653-5200
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CHRISTIAN HOSPITAL NORTHEAST NORTHWEST is a community/retail pharmacy pharmacy in Saint Louis, MO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CHRISTIAN HOSPITAL NORTHEAST NORTHWEST NPI is 1962518878. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Care Pharmacy At Christian Hospital.

The provider's business location address is:

11125 DUNN RD
SAINT LOUIS, MO
ZIP 63136-132
Phone: (314) 653-5200
Fax: (314) 653-4115

The provider's authorized official is Susan Koesterer .
The authorized official title is Vice President and has the following contact phone number (314) 653-5715.

The CLIA number assigned to this NPI record is 26D1102805 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/22/2006 and was last updated on 3/18/2021.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy005670MISSOURIYes

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
12051547OTHERPK
2606763514MEDICAIDMISSOURI
3436057983005MEDICAIDILLINOIS

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.