EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC. (NPI# 1083029540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083029540 |
| Entity Type | Organization |
| Organization Name | EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC. |
| Other Organization Name | EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC. |
| Practice Address |
4700 North Hanley Road Suite A St. Louis MO 63134 |
| Practice Telephone | 8003325455 |
| Practice Fax Number | 8773049042 |
| Mailing Telephone | 8003325455 |
| Mailing Fax Number | 8773049042 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | MICHELE LAW (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 7247422400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
2011036221 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146320 | 01 |
| Other Name | Type Code |
|---|---|
| Express Scripts Specialty Distribution Services, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467534826 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 8931 Springdale Ave., Suite A, Saint Louis, MO 63134 | 2006-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC. | 3168 Riverport Tech Drive, Maryland Heights, MO 63043 |
| Street Address |
4700 NORTH HANLEY ROAD SUITE A |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873010 | Erica Wilkins | Home Health Aide | 8401 Alder Ave, Berkeley, MO 63134 | 2017-07-14 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1477765196 | Darren Cartwright | Dentist | 6065 Helen Avenue, St. Louis, MO 63134 | 2007-05-04 |
| 1679629703 | Baligh Ramzi Yehia | Internal Medicine | 4600 Edmundson Rd, Saint Louis, MO 63134 | 2007-01-25 |
| 1316017072 | Courier Healthcare Systems, Inc | Home Health | 4433 Woodson Rd., Suite 103, Woodson Terrace, MO 63134 | 2006-11-09 |
| 1467534826 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 8931 Springdale Ave., Suite A, Saint Louis, MO 63134 | 2006-10-19 |
| 1346355385 | Jsh Group LLC | Durable Medical Equipment & Medical Supplies | 4441brown Road, St. Louis, MO 63134 | 2006-08-20 |
| 1235175241 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 8905 Airport Rd, Saint Louis, MO 63134 | 2006-06-20 |
| 1770005365 | Optimum Plus Home Healthcare | Home Health | 8401 Alder Ave, Berkeley, MO 63134-1307 | 2017-07-14 |
| 1881240349 | Jerry Lee Long Jr. | Durable Medical Equipment & Medical Supplies | 6654 Bitteroot Ln, Saint Louis, MO 63134-1451 | 2019-08-12 |
| Find all providers in zip 63134 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1538529698 | Good Health Inc | Pharmacy | 1943 Schuetz Rd, Saint Louis, MO 63146-3550 | 2016-03-02 |
| 1083035760 | L&j Pharmacy Inc | Pharmacy | 319 S Main St Ste N-2, Rogersville, MO 65742-9361 | 2013-12-23 |
| 1154742161 | Aureus Health Services, LLC | Pharmacy | 61 Doctors Park, Cape Girardeau, MO 63703-4927 | 2013-12-17 |
| 1730475112 | Riverside Pharmacy Associates LLC | Pharmacy | 616 Nw Platte Valley Dr, Riverside, MO 64150-9798 | 2011-06-23 |
| 1356673222 | Avella of St. Louis, Inc. | Pharmacy | 450 N New Ballas Rd Ste 256, Saint Louis, MO 63141-6836 | 2010-02-03 |
| 1073742714 | Pharmacy Management Services Inc | Pharmacy | 7150 Natural Bridge Rd Ste 101, Saint Louis, MO 63121-5151 | 2009-07-02 |
| 1194917773 | Specialty Pharmacy of St. Louis, LLC | Pharmacy | 623 N New Ballas Rd, Creve Coeur, MO 63141-6713 | 2007-08-16 |
| 1487298881 | Foundation Care LLC | Pharmacy | 4010 Wedgeway Ct, Earth City, MO 63045-1213 | 2019-10-30 |
| 1649751744 | Lscs Holdings, Inc. | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2018-08-27 |
| 1003281619 | Washington University | Pharmacy | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2015-12-08 |
| 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.