CORUM HEALTH SERVICES, INC. (NPI# 1447245378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447245378 |
| Entity Type | Organization |
| Organization Name | CORUM HEALTH SERVICES, INC. |
| Other Organization Name | CORUM HEALTH SERVICES |
| Practice Address |
14805 N Outer 40 Rd Suite 140 Chesterfield MO 63017-6060 |
| Mailing Address |
14805 N Outer 40 Rd Suite 300 Chesterfield MO 63017-6060 |
| Practice Telephone | 6367337300 |
| Practice Fax Number | 6367337334 |
| Mailing Telephone | 6367337000 |
| Mailing Fax Number | 6367337010 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | MR. GAIL LEE HARTMANN (TREASURER) |
| Authorized Official Telephone | 6367337000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
005711 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 607781606 | 05 |
| Other Name | Type Code |
|---|---|
| Corum Health Services | Doing Business As Name - Organization |
| Street Address |
14805 N OUTER 40 RD SUITE 140 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447245360 | Pathways Community Hospice, LLC | Hospice Care, Community Based | 14805 N Outer 40 Rd, Suite 160, Chesterfield, MO 63017-6060 | 2005-09-16 |
| 1487924411 | Julie Ruth Rehagen | Nurse Practitioner | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 | 2012-01-06 |
| 1154650562 | Sarah C Berra | Nurse Practitioner | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 | 2009-12-14 |
| 1225286222 | Sharolynn K Tyler | Nurse Practitioner | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 | 2008-09-03 |
| 1285898783 | Pathways Palliative Care, LLC | Nurse Practitioner | 14805 N Outer 40 Rd, Suite 160, Chesterfield, MO 63017-6060 | 2008-07-14 |
| 1962430157 | Specialized Wound Management LLC | Nurse Practitioner | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 | 2006-06-28 |
| 1295720118 | Delmar Gardens Home Care, Inc. | Home Health | 14805 N Outer 40 Rd, Suite 320, Chesterfield, MO 63017-6060 | 2005-09-16 |
| 1518952449 | Med Resources, Inc. | Durable Medical Equipment & Medical Supplies | 14805 N Outer 40 Rd, Suite 100, Chesterfield, MO 63017-6060 | 2005-09-16 |
| 1649265562 | Delmar Gardens Private Services, LLC | Public Health or Welfare | 14805 N Outer 40 Rd, Suite 120, Chesterfield, MO 63017-6060 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1487942207 | Accuscripts LLC | Pharmacy | 17826 Edison Ave, Chesterfield, MO 63005-1262 | 2011-07-13 |
| 1245241751 | Midwest Long Term Care Services LLC | Pharmacy | 739 Goddard Ave, Chesterfield, MO 63005-1106 | 2006-08-10 |
| 1861483232 | St Lukes Episcopal Presbyterian Hospital | Pharmacy | 224 S Woods Mill Rd, Ste 350, Chesterfield, MO 63017-3513 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033534 | Good Graces, LLC | Pharmacy | 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 | 2020-11-03 |
| 1780298406 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 4083 N State Highway Nn, Ozark, MO 65721-7201 | 2020-09-01 |
| 1023620838 | Tipton Pharmacy | Pharmacy | 310 Us Highway 50 W, Tipton, MO 65081-8701 | 2020-08-21 |
| 1568095313 | Auburn Pharmacy, Inc. | Pharmacy | 1103 S 169 Hwy, Smithville, MO 64089 | 2020-02-20 |
| 1780229690 | Dalpoas Group Inc | Pharmacy | 4245 Forest Park Ave Ste B, Saint Louis, MO 63108-2810 | 2019-11-14 |
| 1053953109 | Summers Pharmacy of Slater, LLC | Pharmacy | 102 E Maple St, Slater, MO 65349-1539 | 2019-10-10 |
| 1316594328 | Legacy Drugstore LLC | Pharmacy | 13000 Veterans Memorial Pkwy Ste A, Wright City, MO 63390-1012 | 2019-08-23 |
| 1972158673 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste A, Salisbury, MO 65281 | 2019-08-08 |
| 1700342888 | Battlefield Pharmacy | Pharmacy | 4062 W Republic Rd, Battlefield, MO 65619-7108 | 2019-02-14 |
| 1548733769 | Guardian Pharmacy of St. Louis, LLC | Pharmacy | 926 S Highway Dr, Fenton, MO 63026-2023 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.