MEDICAL WEST PHARMACY, INC (NPI# 1104066778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104066778 |
| Entity Type | Organization |
| Organization Name | MEDICAL WEST PHARMACY, INC |
| Other Organization Name | MEDICAL WEST HEALTHCARE CENTER |
| Practice Address |
19 Ronnies Plz Saint Louis MO 63126-3552 |
| Mailing Address |
9301 Dielman Industrial Dr Saint Louis MO 63132-2204 |
| Practice Telephone | 3142902200 |
| Practice Fax Number | 3149022220 |
| Mailing Telephone | 3149937900 |
| Mailing Fax Number | 3145695056 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | MR. KENNETH ALAN SANDLER (PRESIDENT) |
| Authorized Official Telephone | 3149937900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 850200908 | MO | Residential Treatment Facilities |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 10803009 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTHLINK | 612829 | 01 | |
| MO | 620200907 | 05 | |
| MO | ANTHEM BLUE CROSS BLUE SHIELD | 181658 | 01 |
| Other Name | Type Code |
|---|---|
| Medical West Healthcare Center | Doing Business As Name - Organization |
| Street Address |
19 RONNIES PLZ |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63126-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215367735 | Medical West Healthcare Center LLC | Durable Medical Equipment & Medical Supplies | 19 Ronnies Plz, Saint Louis, MO 63126-3552 | 2013-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
| 1396044186 | Kristin Cassidy | Occupational Therapist | 11660 Eddie and Park Rd, Saint Louis, MO 63126 | 2011-03-21 |
| 1497913347 | Bradley Keith Pugh | Audiologist | 11627 Gravois Road, Midwest Hearing Center, Saint Louis, MO 63126 | 2008-05-28 |
| 1780707034 | William Anthony Taylor Sr. | Dentist | 9730 E Watson Rd, Suite # 1, St. Louis, MO 63126 | 2007-04-09 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1841347341 | Teralandur K. Parthasarathy | Audiologist | #30 Ronnie's Plaza, St. Louis, MO 63126 | 2007-01-05 |
| 1255402624 | Paul Arthur Lapoint | Optometrist | 11611 Gravois Road, St Louis, MO 63126 | 2006-11-10 |
| 1003998907 | Jeff Thompson | Optometrist | 211 Watson Plaza, St. Louis, MO 63126 | 2006-10-19 |
| 1992802433 | Rc Physician Services, LLC | Family Medicine | 9200 Watson Rd., St Louis, MO 63126 | 2006-09-19 |
| 1386753184 | Cynthia Diane Newell | Social Worker | Personal Potentials Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 | 2006-08-29 |
| Find all providers in zip 63126 | ||||
| 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 |
|---|---|---|---|---|
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1407475858 | Medical Supplies Only LLC | Durable Medical Equipment & Medical Supplies | 13035 Olive Blvd Ste 212, Saint Louis, MO 63141-6179 | 2020-04-15 |
| 1902437460 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6211 Delmar Blvd, Saint Louis, MO 63130-4814 | 2020-02-03 |
| 1306494927 | The Whiteville Drugstore, LLC | Durable Medical Equipment & Medical Supplies | 13035 Olive Blvd Ste 210, Saint Louis, MO 63141-6179 | 2019-08-27 |
| 1669939773 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 115 Branch St, Saint Louis, MO 63147-3503 | 2019-02-25 |
| 1992276604 | Skin Relief Supply | Durable Medical Equipment & Medical Supplies | 10990 New Halls Ferry Rd Ste J110, Saint Louis, MO 63136-4471 | 2018-12-07 |
| 1497272165 | Mercy Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 607 S New Ballas Rd Ste 1415, Saint Louis, MO 63141-8231 | 2017-08-24 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1972048247 | Solutia Medical LLC | Durable Medical Equipment & Medical Supplies | 335 Leffingwell Ave, Suite126, Saint Louis, MO 63122-6417 | 2016-12-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63126 |
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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.