MR. JACK C STUCKMEYER


Address: 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181
Phone: 3148946681

MR. JACK C STUCKMEYER (NPI# 1831151646) 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) 1831151646
Entity Type Individual
Full Name MR. JACK C STUCKMEYER
Credential RPH
Practice Address 1 Jefferson Barracks Rd
Saint Louis
MO 63125-4181
Mailing Address 1311 Fenton Hills Rd
Fenton
MO 63026-3313
Practice Telephone 3148946681
Mailing Telephone 6363437014
Enumeration Date 2006-04-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 028659 MO Pharmacy Service Providers

Office Location

Street Address 1 JEFFERSON BARRACKS RD
City SAINT LOUIS
State MO
Zip Code 63125-4181

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184686347 Vincent Joseph Deblaze Pharmacist 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 2006-04-04
1952952905 Dedra M Echols Nurse Practitioner 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 2019-09-20
1437714243 Christina Rae Di Iorio Karageorgiou Psychologist 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 2019-05-07
1871039602 Brittany Zaring Dietitian, Registered 1 Jefferson Barracks Rd, Bldg 1, C3014, Saint Louis, MO 63125-4181 2017-01-18
1467822064 Sandra Fox Registered Nurse 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 2015-09-25
1255766598 Lisa M Akers-smith Dietitian, Registered 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 2013-09-05
1972945582 Jennifer Christine King Psychologist 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 2013-07-24
1063771988 Elizabeth Russell Pharmacist 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 2012-05-12
1215226964 Carrie Weatherholt Dietitian, Registered 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 2011-04-04
1376875047 David D. Burke Specialist 1 Jefferson Barracks Rd, St. Louis Va Medical Center Bldg. 1 #2c1, Saint Louis, MO 63125-4181 2010-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396396990 Linda Marie Monken Technician 3792 Southern Manor, St. Louis, MO 63125 2019-09-25
1194373688 Angel Angelette Rochelle Ellington Technician Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 2019-08-28
1760940209 Lea-ed Inc Community Based Residential Treatment Facility, Mental Illness 30 Sherman Road, Lemay, MO 63125 2019-03-04
1861957185 Mary M Ross Occupational Therapist Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 2019-02-01
1013400977 Anne Henry Francis Dietitian, Registered Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 2018-06-14
1922458660 Rebecca Mae Waugh Skilled Nursing Facility 1001 Holy Grail Ct, Saint Louis, MO 63125 2016-06-14
1942661814 Dsk Works LLC Chiropractor 3193 Lemay Ferry Rd., Saint Louis, MO 63125 2016-03-18
1467717678 Despine Louise Coulis Pediatrics 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 2012-07-13
1184914194 Allison Celeste Cassidy Pharmacist 3901 Lemay Ferry Road, Saint Louis, MO 63125 2011-04-11
1093049694 Lauren C Mensie Psychologist 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 2009-09-29
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457959736 Andrea Williams Pharmacist 13231 Windbrooke Ln, Saint Louis, MO 63146-2221 2020-10-09
1417564196 Barbara Rodgers Pharmacist 4700 N Hanley Rd Ste 256, Saint Louis, MO 63134-2700 2020-09-28
1396358339 Michael A Heltzel Pharmacist 630 Emerson Rd Apt 307, Saint Louis, MO 63141-6764 2020-08-28
1295345866 Elyar Gasanli Pharmacist 159 Lindbergh Place Dr, Saint Louis, MO 63146-5902 2020-08-07
1063039360 Brad Collins Pharmacist 4240 Duncan Ave Ste 200, Saint Louis, MO 63110-1123 2020-07-02
1932720182 Thomas Valiaparampil Pharmacist 7328 Cheshire Ln, Saint Louis, MO 63123-2125 2020-04-29
1467080945 Ehikhuemhen Enaholo Pharmacist 5132 Waterman Blvd Apt 209, Saint Louis, MO 63108-1137 2020-03-30
1700425204 Mena Khaled Pharmacist 9031 Big Chief Dr, Saint Louis, MO 63123-6605 2019-12-31
1952964652 Almir Muharemovic Pharmacist 1205 Mangrove Ln Apt 6, Saint Louis, MO 63125-5631 2019-04-17
1215496518 Ryan Freund Pharmacist 1861 Craig Park Ct, Saint Louis, MO 63146-4122 2019-03-16
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Competitor

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City SAINT LOUIS
Zip Code 63125

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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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