DIERBERGS MARKETS INC (NPI# 1003906041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003906041 |
| Entity Type | Organization |
| Organization Name | DIERBERGS MARKETS INC |
| Other Organization Name | DIERBERGS HERITAGE PHARMACY |
| Practice Address |
12595 Olive Street Road St Louis MO 63141 |
| Mailing Address |
Po Box 1070 Chesterfield MO 63006-1070 |
| Practice Telephone | 3145422194 |
| Practice Fax Number | 6365303015 |
| Mailing Telephone | 6368121470 |
| Mailing Fax Number | 6368121603 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-01-30 |
| Authorized Official Name | GREGORY GUENTHER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6368121470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 005059 | MO | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2626123 | 01 | |
| MO | 603682105 | 05 |
| Other Name | Type Code |
|---|---|
| DIERBERGS HERITAGE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710242292 | Dierbergs Markets Inc | Pharmacy | 1080 Lindemann Rd, Des Peres, MO 63131-4526 | 2012-07-10 |
| 1417121385 | Dierbergs Markets Inc | Pharmacy | 860 Arnold Commons Dr, Arnold, MO 63010-2164 | 2008-04-22 |
| 1851481899 | Dierbergs Markets Inc | Pharmacy | 7233 Watson Rd, Saint Louis, MO 63119-4401 | 2006-10-13 |
| 1942390984 | Dierbergs Markets Inc | Pharmacy | 11481 Olive Street Road, St Louis, MO 63141 | 2006-10-13 |
| 1760572705 | Dierbergs Markets Inc | Pharmacy | 1820 Wentzville Parkway, Wentzville, MO 63385 | 2006-10-13 |
| 1033209077 | Dierbergs Markets Inc | Pharmacy | 6671 Edwardsville Crossing Drive, Edwardsville, IL 62025 | 2006-10-13 |
| 1447349113 | Dierbergs Markets Inc | Pharmacy | 8450 Eager Rd, Saint Louis, MO 63144-1413 | 2006-10-12 |
| 1265521934 | Dierbergs Markets Inc | Pharmacy | 2460 Taylor Rd, Grover, MO 63040-1222 | 2006-10-12 |
| 1629167390 | Dierbergs Markets Inc | Pharmacy | 2979 Highway K, O Fallon, MO 63368-7862 | 2006-10-12 |
| 1639268303 | Dierbergs Markets Inc | Pharmacy | 2021 Zumbehl Rd, Saint Charles, MO 63303-2723 | 2006-10-12 |
| Street Address |
12595 OLIVE STREET ROAD |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1659576205 | Forest Park Pharmacy | Pharmacy | 3535 S. Jefferson Ave, Ste (s-1), St Louis, MO 63118 | 2007-06-15 |
| 1457446015 | Prescription Plus, Inc | Pharmacy | #5 Maryland Ave, St Louis, MO 63108 | 2006-10-03 |
| 1265525893 | Williams Pharmacy Inc | Pharmacy | 7010 Pershing Avenue, St Louis, MO 63130 | 2006-10-02 |
| 1669487815 | Walgreen Co | Pharmacy | 4218 Lindell Blvd, St Louis, MO 63108 | 2006-07-29 |
| 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 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.