REHOBOTH PHARMACY LLC


Address: 9944 W Florissant Ave, Saint Louis, MO 63136-1432
Phone: 3148683333

REHOBOTH PHARMACY LLC (NPI# 1700929866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700929866
Entity Type Organization
Organization Name REHOBOTH PHARMACY LLC
Other Organization Name REHOBOTH PHARMACY
Practice Address 9944 W Florissant Ave
Saint Louis
MO 63136-1432
Practice Telephone 3148683333
Practice Fax Number 3148672330
Mailing Telephone 3148683333
Mailing Fax Number 3148672330
Enumeration Date 2007-02-15
Last Update Date 2010-08-20
Authorized Official Name IDOWU AJIBOLA (PIC)
Authorized Official Telephone 3142493176
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
200700836 MO Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 2637354 01
MO 606309003 05

Other Provider/Organization Names

Other Name Type Code
REHOBOTH PHARMACY Doing Business As Name - Organization

Office Location

Street Address 9944 W FLORISSANT AVE
City SAINT LOUIS
State MO
Zip Code 63136-1432

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194356667 Dellwood Pharmacy LLC Pharmacy 9944 W Florissant Ave, Saint Louis, MO 63136-1432 2020-02-03
1871158287 Houze Calls Pharmacists LLC Registered Nurse 9944 W Florissant Ave, Saint Louis, MO 63136-1432 2019-05-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565993 Dorothy Smith Home Health 2531 Nathan Drive, St Louis, MO 63136 2020-10-16
1538784459 Rita D Wilson Technician 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 2020-06-16
1922646728 Eduhealth Personal Care Services Technician 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 2019-12-12
1558912964 Homers Haven Home Care LLC Home Health 5636 Pamplin Pl, St Louis, MO 63136 2019-09-26
1366096703 Chloe Suzanne Datillo Nurse Practitioner 2865 Netherton Dr., St Louis, MO 63136 2019-07-24
1053976431 U Auto Be Quik LLC Non-emergency Medical Transport (VAN) 10352 Castle Drive, St. Louis, MO 63136 2019-05-01
1164945895 A Plus Home Health Services LLC Home Health 9517 Wilson Bridge Drive, Saint Louis, MO 63136 2017-07-25
1184150302 Fairview Village Adult Day Care LLC Clinic/Center 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 2017-05-08
1023541182 Lots of Love Home Health Services In Home Supportive Care 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 2017-04-06
1912440876 Carestl Health Clinic/Center 7047 Emma Ave, Jennings, MO 63136 2016-11-28
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154893071 Key Healthmeds LLC Pharmacy 522 N New Ballas Rd Ste 206, Saint Louis, MO 63141-6819 2018-12-18
1366926552 Amc Pharmacy Pharmacy 2653 Locust St, Saint Louis, MO 63103-1411 2018-09-24
1730606401 Mercy Pharmacy Services, LLC Pharmacy 12680 Olive Blvd Ste 150, Saint Louis, MO 63141-6364 2017-08-24
1487171153 Mercy Pharmacy Services, LLC Pharmacy 12348 Old Tesson Rd Ste 100, Saint Louis, MO 63128-2251 2017-08-24
1902323678 Mercy Pharmacy Services, LLC Pharmacy 621 S New Ballas Rd Ste 20a, Saint Louis, MO 63141-8251 2017-08-24
1154722841 Missouri Baptist Medical Center Pharmacy 3844 S Lindbergh Blvd Ste 150, Saint Louis, MO 63127-1368 2014-09-12
1720332752 Readymed Pharmacy Inc. Pharmacy 13218 Tesson Ferry Rd, Saint Louis, MO 63128-3840 2012-10-29
1336498484 Sai Health Pharmacy LLC Pharmacy 135 W Washington St, Saint Louis, MI 48880-1534 2012-09-05
1023173986 Long Term Care Rx, Inc. Pharmacy 1a Document Dr, Saint Louis, MO 63114 2006-12-22
1831261627 Machaj Rx Inc Pharmacy 3137 S Grand Blvd, Saint Louis, MO 63118-1020 2006-11-15
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Competitor

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City SAINT LOUIS
Zip Code 63136

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Dataset Information

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.

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