MEDICAL WEST PHARMCAY, INC (NPI# 1033217880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033217880 |
Entity Type | Organization |
Organization Name | MEDICAL WEST PHARMCAY, INC |
Other Organization Name | MEDICAL WEST HEALTHCARE CENTER |
Practice Address |
4630 Mexico Rd Saint Peters MO 63376-1607 |
Mailing Address |
9301 Dielman Industrial Dr Saint Louis MO 63132-2204 |
Practice Telephone | 6364771888 |
Mailing Telephone | 3149937900 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-04-20 |
Authorized Official Name | DANIEL K LANE JR. (CFO) |
Authorized Official Telephone | 3149937900 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BLUECROSS BLUE SHIELD MO | 29775 | 01 |
MO | GROUP HEALTH PLAN | 6903 | 01 |
Other Name | Type Code |
---|---|
Medical West Healthcare Center | Doing Business As Name - Organization |
Street Address |
4630 MEXICO RD |
City | SAINT PETERS |
State | MO |
Zip Code | 63376-1607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689004103 | Medical West Healthcare Center LLC | Durable Medical Equipment & Medical Supplies | 4630 Mexico Rd, Saint Peters, MO 63376-1607 | 2013-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
Find all providers in zip 63376 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
1386139251 | A Wigs & Cuts LLC | Durable Medical Equipment & Medical Supplies | 4205 N Saint Peters Pkwy, Saint Peters, MO 63304-7384 | 2018-06-24 |
1073985404 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | 3031 Mid Rivers Mall Dr, Saint Peters, MO 63376-3426 | 2015-10-26 |
1427427459 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 45 Sutters Mill Rd, Saint Peters, MO 63376-2759 | 2015-09-21 |
1003282138 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 200 Jungermann Rd, Saint Peters, MO 63376-5347 | 2015-08-12 |
1952663940 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1749 Woodstone Dr, Saint Peters, MO 63304-6816 | 2012-06-14 |
1376816538 | D & A Medical Equipment | Durable Medical Equipment & Medical Supplies | 933 Saravalle Dr, Saint Peters, MO 63376-8217 | 2012-02-20 |
1396974531 | Jemani Medical, LLC | Durable Medical Equipment & Medical Supplies | 140 Jungermann Rd, Saint Peters, MO 63376-1698 | 2009-07-09 |
1144429937 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 499 Salt Lick Rd, Saint Peters, MO 63376-1290 | 2007-07-12 |
1114057775 | Mlc Ventures | Durable Medical Equipment & Medical Supplies | 7127 Mexico Rd, Suite 226, Saint Peters, MO 63376-5400 | 2007-03-06 |
Find all providers in SAINT PETERS |
City | SAINT PETERS |
Zip Code | 63376 |
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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.