DIERBERGS MARKETS, INC (NPI# 1538258207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538258207 |
| Entity Type | Organization |
| Organization Name | DIERBERGS MARKETS, INC |
| Other Organization Name | DIERBERGS FENTON CROSSING PHARMACY |
| Practice Address |
450 Old Smizer Mill Rd. Fenton MO 63026 |
| Practice Telephone | 6363492666 |
| Practice Fax Number | 6365303018 |
| Mailing Telephone | 6363492666 |
| Mailing Fax Number | 6365303018 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | GREG GUENTHER (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 6368121472 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIERBERGS MARKETS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 2000158538 | MO | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 605711704 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2633584 | 01 |
| Other Name | Type Code |
|---|---|
| DIERBERGS FENTON CROSSING PHARMACY | Doing Business As Name - Organization |
| Street Address |
450 OLD SMIZER MILL RD. |
| City | FENTON |
| State | MO |
| Zip Code | 63026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073098901 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 45 Gravois Bluffs Plaza Dr, Fenton, MO 63026-4012 | 2018-09-26 |
| 1033559463 | Nicole Helsinger | Registered Nurse | 450 Old Smizer Mill Rd, Fenton, MO 63026-3553 | 2013-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351393 | Jacqueline S Futrell | Registered Nurse | 3660 Vista Ave Ste 204, Saint Louis, MO 63110-2540 | 2020-06-24 |
| 1174150312 | Ramona Rae Dachroeden | Registered Nurse | 1701 E Broadway Ste 102, Columbia, MO 65201-8029 | 2020-03-26 |
| 1437703204 | Bertagnolli Medciation Services | Registered Nurse | 1008 W 93rd St, Kansas City, MO 64114-3216 | 2019-07-30 |
| 1487139234 | Schnuck Markets Inc | Registered Nurse | 100 Jungermann Rd, Saint Peters, MO 63376-1608 | 2018-09-27 |
| 1568947315 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2183 Charbonier Rd, Florissant, MO 63031-5500 | 2018-09-27 |
| 1447735295 | Schnuck Markets Inc | Registered Nurse | 1421 Mexico Loop Rd E, O Fallon, MO 63366-6017 | 2018-09-27 |
| 1467937201 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 9070 St. Charles Rock Rd, St. Louis, MO 63114-4246 | 2018-09-27 |
| 1356826200 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 500 Us Highway 50 W, Union, MO 63084-1938 | 2018-09-26 |
| 1154800241 | Schnuck Markets Inc | Registered Nurse | 11550 Page Service Dr Ste 101a, Saint Louis, MO 63146-3531 | 2018-08-09 |
| 1205189024 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2511 Kehrs Mill Rd, Chesterfield, MO 63017-7358 | 2012-10-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIERBERGS MARKETS, INC.
| 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.