ST. LOUIS COLLEGE OF PHARMACY (NPI# 1265710560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265710560 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS COLLEGE OF PHARMACY |
| Practice Address |
4588 Parkview Place St. Louis MO 63110 |
| Practice Telephone | 3143678700 |
| Practice Fax Number | 3144468500 |
| Mailing Telephone | 3143678700 |
| Mailing Fax Number | 3144468500 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | DR. WENDY CAROLYN DUNCAN (DEAN OF PHARMACY) |
| Authorized Official Telephone | 3144468341 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083029516 | St. Louis College of Pharmacy | Exclusive Provider Organization | 14733 Piety Cir, Florissant, MO 63034-3133 | 2014-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. LOUIS COLLEGE OF PHARMACY | 4588 Parkview Pl, Saint Louis, MO 63110-1088 |
| Street Address |
4588 PARKVIEW PLACE |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871583799 | Nimita Thekkepat | Pharmacist | 9568 Chancelorsville Drive, St. Louis, MO 63126-3311 | 2005-10-22 |
| 1821191727 | Jonathan Alan Mcmahan | Pharmacist | 915 N. Grand, St. Louis, MO 63106 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881226298 | Christina L Stafford | Pharmacist | 1306 W Business Loop 70, Columbia, MO 65202-1325 | 2020-02-04 |
| 1659802452 | Joshua Shipley | Pharmacist | 809 Peruque View Ct, Wentzville, MO 63385-4340 | 2017-03-23 |
| 1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
| 1619375896 | Diane Klueppel | Pharmacist | 4325 Ventura Place Dr, Saint Louis, MO 63128-3159 | 2014-12-20 |
| 1245592054 | Stanley Charles Johnston | Pharmacist | 105 W. Eldon St, St. James, MO 65559 | 2012-06-08 |
| 1609150564 | Steve C Platou | Pharmacist | 2159 S. Campbell Ave, Springfield, MO 65807 | 2011-10-10 |
| 1295018422 | Gregory James Serocki | Pharmacist | 3189 S Woodstock Ave, Springfield, MO 65809-4146 | 2011-09-23 |
| 1760771943 | Scott Andrew Coon | Pharmacist | 4588 Parkview Place, Arb 440, Saint Louis, MO 63110-1088 | 2011-03-28 |
| 1508194556 | Kailye Kelly Hsia | Pharmacist | 1555 Mckelvey Rd, Maryland Heights, MO 63043-2852 | 2009-12-03 |
| 1013244284 | Stephanie R Pieszchalski | Pharmacist | 14528 S Outer 40 Rd, Suite 300, Chesterfield, MO 63017-5785 | 2009-11-10 |
| Find all providers with the same taxonomy | ||||
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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.