EVERSANA LIFE SCIENCE SERVICES, LLC (NPI# 1003220369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003220369 |
| Entity Type | Organization |
| Organization Name | EVERSANA LIFE SCIENCE SERVICES, LLC |
| Other Organization Name | DOHMEN LIFE SCIENCE SERVICES, LLC |
| Practice Address |
17877 Chesterfield Airport Rd Chesterfield MO 63005-1211 |
| Practice Telephone | 6365192400 |
| Practice Fax Number | 8668628818 |
| Mailing Telephone | 6365192400 |
| Mailing Fax Number | 8668628818 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | TODD SPARLIN (VP CONTRACTING AND PAYER ACCESS) |
| Authorized Official Telephone | 6365194951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | Agencies | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2014000185 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 2635956 | 01 |
| Other Name | Type Code |
|---|---|
| Dohmen Life Science Services, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264591 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2005-06-08 |
| 1770985905 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2014-09-18 |
| 1295141604 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2014-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EVERSANA LIFE SCIENCE SERVICES, LLC | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 |
| Iowa Business Entities | EVERSANA LIFE SCIENCE SERVICES, LLC | 190 North Milwaukee Street, Milwaukee, WI 53202 |
| Oregon Corporations, Companies and Business Names | EVERSANA LIFE SCIENCE SERVICES, LLC | 190 N Milwaukee Street, Milwaukee, WI 53202 |
| Colorado Business Entities | Eversana Life Science Services, LLC | 444 W. Lake Street, Suite 1800, Chicago, IL 60606 |
| New York State Corporations | EVERSANA LIFE SCIENCE SERVICES, LLC | 80 State Street, Albany, Ny 12207 |
| Washington State Corporations | EVERSANA LIFE SCIENCE SERVICES, LLC | 190 N Milwaukee St, Milwaukee, WI 53202-6013 |
| Alabama Business Registrations | EVERSANA LIFE SCIENCE SERVICES, LLC | 190 N. Milwaukee Street, Milwaukee, WI 53202 |
| Street Address |
17877 CHESTERFIELD AIRPORT RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63005-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264591 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2005-06-08 |
| 1043839871 | Edgardo Alvira | Pharmacist | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2020-04-12 |
| 1619535606 | Arijit Aichbhaumik | Pharmacist | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2019-06-04 |
| 1962069427 | Irene Marie Lee | Pharmacist | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2019-05-21 |
| 1346807955 | Ralph Michael Bonofiglio II | Pharmacist | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2019-05-20 |
| 1649751744 | Lscs Holdings, Inc. | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2018-08-27 |
| 1609354737 | Carrol Duane Mccord | Pharmacist | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2018-07-31 |
| 1770985905 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2014-09-18 |
| 1295141604 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2014-07-07 |
| 1801195607 | Thomas Westrich | Pharmacist | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2011-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
| 1093224487 | All Family Matters, LLC | In Home Supportive Care | 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 | 2017-09-28 |
| 1437681293 | Emily Therese Harpel | Pharmacist | 691 Trade Center Blvd, Chesterfield, MO 63005 | 2017-03-31 |
| 1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
| 1497112874 | Jordan Kimler | Nurse Practitioner | 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 | 2016-01-15 |
| 1265850556 | Richard George Rougeau | General Practice | 17679 Wildridge Drive, Wildwood, MO 63005 | 2014-04-03 |
| 1679912554 | Ceara M Barmeier | Physician Assistant | 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 | 2013-06-24 |
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1528334984 | Syed Tanveer Haider | Radiologic Technologist | 16502 Barrister Lane, Chesterfield, MO 63005 | 2012-03-29 |
| 1144591041 | Sensible Dental - Chesterfield | Dentist | 100 Thf Blvd., Chesterfield, MO 63005 | 2012-01-24 |
| Find all providers in zip 63005 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518318203 | Experiencedrx LLC | Pharmacy | 700 Crown Industrial Ct, Suite N and O, Chesterfield, MO 63005-1128 | 2016-06-24 |
| 1891027769 | Forum Rx Inc | Pharmacy | 106b Four Seasons Shopping Center, Chesterfield, MO 63017-3157 | 2010-02-03 |
| 1730311432 | Bridges & James Inc | Pharmacy | 107 West Blvd, Chesterfield, SC 29709-1528 | 2009-08-13 |
| 1932241320 | Forum Center Pharmacy Inc | Pharmacy | 67 Forum Shopping Center, Chesterfield, MO 63017-3006 | 2007-02-13 |
| 1184723488 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 47011 Gratiot Ave, Chesterfield, MI 48051-2761 | 2006-09-22 |
| 1164521464 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 52950 Gratiot Ave, Chesterfield, MI 48051-2046 | 2006-09-22 |
| 1740384411 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 6400 Centralia Rd, Chesterfield, VA 23832-6523 | 2006-09-12 |
| 1790897643 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 33920 23 Mile Rd, Chesterfield, MI 48047-4005 | 2006-08-31 |
| 1548264591 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2005-06-08 |
| 1770985905 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2014-09-18 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63005 |
Please comment or provide details below to improve the information on EVERSANA LIFE SCIENCE SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.