ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL (NPI# 1619968096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619968096 |
| Entity Type | Organization |
| Organization Name | ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL |
| Other Organization Name | ST LUKES PHARMACY WINGHAVEN |
| Practice Address |
5551 Winghaven Blvd Ste 120 O Fallon MO 63368-3617 |
| Practice Telephone | 6366952555 |
| Practice Fax Number | 6366952556 |
| Mailing Telephone | 6366952555 |
| Mailing Fax Number | 6366952556 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2015-10-12 |
| Authorized Official Name | RICHARD FOOK (DIR OF PHCY SERV) |
| Authorized Official Telephone | 3142056291 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2008006746 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600567515 | 05 | |
| PK | 2050270 | 01 |
| Other Name | Type Code |
|---|---|
| ST LUKES PHARMACY WINGHAVEN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483232 | St Lukes Episcopal Presbyterian Hospital | Pharmacy | 224 S Woods Mill Rd, Ste 350, Chesterfield, MO 63017-3513 | 2005-11-03 |
| Street Address |
5551 WINGHAVEN BLVD STE 120 |
| City | O FALLON |
| State | MO |
| Zip Code | 63368-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141191 | Phann D Vu | Podiatrist | 5551 Winghaven Blvd, Ste 280, O Fallon, MO 63368-3629 | 2005-08-11 |
| 1245616309 | Forefront Dermatology, S.c. | Dermatology | 5551 Winghaven Blvd, Suite 210, O Fallon, MO 63368 | 2015-07-30 |
| 1336545391 | Lori Payne | Nurse Practitioner | 5551 Winghaven Blvd, Suite 240, O Fallon, MO 63368-3617 | 2014-11-18 |
| 1972929628 | Jenny Pancer | Nurse Practitioner | 5551 Winghaven Blvd, Ste 142, O Fallon, MO 63368-3617 | 2014-03-05 |
| 1407295355 | Jenna A Sanders | Nurse Practitioner | 5551 Winghaven Blvd, Ste 290, O Fallon, MO 63368-3617 | 2013-06-24 |
| 1487924288 | Internal Medicine At Winghaven, LLC | Internal Medicine | 5551 Winghaven Blvd, Ste 290, O Fallon, MO 63368-3617 | 2012-01-10 |
| 1982889861 | Davis, Wright, Berdy & Suffian PC | Allergy & Immunology | 5551 Winghaven Blvd, Suite 270, O Fallon, MO 63368-3617 | 2008-01-09 |
| 1942491659 | Winghaven Womens Care Inc. | Obstetrics & Gynecology | 5551 Winghaven Blvd, Suite 260, O Fallon, MO 63368-3617 | 2007-08-07 |
| 1700087269 | Katherine Elizabeth Huhn-usry | Family Medicine | 5551 Winghaven Blvd, Ste 142, O Fallon, MO 63368-3617 | 2007-05-30 |
| 1689796294 | Nelson G Usry | Family Medicine | 5551 Winghaven Blvd, Ste 142, O Fallon, MO 63368-3617 | 2007-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
| 1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
| 1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
| 1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| Find all providers in zip 63368 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1376039149 | Cardinal Pharmacy | Pharmacy | 108 Triad Ctr W # 108, O Fallon, MO 63366-7541 | 2018-07-05 |
| 1053476481 | Aleman Enterprises | Pharmacy | 122 W State St, O Fallon, IL 62269-1161 | 2006-12-26 |
| 1285243972 | O'fallon Pharmacy, LLC | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-07-28 |
| 1942728506 | Howell Pharmacy LLC | Pharmacy | 122 W State St, O Fallon, IL 62269-1161 | 2017-09-05 |
| 1255687398 | Powers Family Pharmacy LLC | Pharmacy | 7776 Winghaven Blvd, O Fallon, MO 63368-3601 | 2012-07-26 |
| 1619984622 | Walgreen Co | Pharmacy | 920 N Main St, O Fallon, MO 63366-1746 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| 1124658232 | Ste Genevieve County Memorial Hospital | Pharmacy | 575 Pine Dr, Ste Genevieve, MO 63670 | 2020-01-17 |
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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.