WASHINGTON UNIVERSITY ACTU PHARMACY (NPI# 1154744092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154744092 |
| Entity Type | Organization |
| Organization Name | WASHINGTON UNIVERSITY ACTU PHARMACY |
| Practice Address |
4570 Childrens Pl Suite 1200 Saint Louis MO 63110-1020 |
| Practice Telephone | 3147471915 |
| Practice Fax Number | 3143615231 |
| Mailing Telephone | 3147471915 |
| Mailing Fax Number | 3143615231 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | MR. MICHAEL C ROYAL (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 3147471915 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
005330 | MO | Suppliers |
| Street Address |
4570 CHILDRENS PL SUITE 1200 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949225 | Alexandria M Garavaglia Wilson | Pharmacist | 4570 Childrens Pl, Saint Louis, MO 63110-1020 | 2005-08-11 |
| 1902199037 | Kathryn M Gratza | Nurse Practitioner | 4570 Childrens Pl, Storz Clinic, Saint Louis, MO 63110-1033 | 2011-05-23 |
| 1750605838 | Jessica R Sandfort | Dietitian, Registered | 4570 Childrens Pl, Saint Louis, MO 63110-1020 | 2010-03-18 |
| 1093038531 | Washington University Weight Management | Clinic/Center | 4570 Childrens Pl, Campus Box 8083, Saint Louis, MO 63110-1020 | 2010-03-11 |
| 1235461724 | Janine A Kampelman | Nurse Practitioner | 4570 Childrens Pl, Saint Louis, MO 63110-1020 | 2010-02-08 |
| 1104050111 | Catherine A Williamson | Nurse Practitioner | 4570 Childrens Pl, Storz Clinic, Saint Louis, MO 63110-1020 | 2009-05-05 |
| 1700081213 | Nur Fiona Onen | Internal Medicine | 4570 Childrens Pl, Storz Clinic, Saint Louis, MO 63110-1020 | 2007-06-15 |
| 1013939156 | Joyce H Bateman | Dietitian, Registered | 4570 Childrens Pl, Saint Louis, MO 63110-1020 | 2006-07-25 |
| 1114945813 | Richard E Ostlund Jr. | Internal Medicine | 4570 Childrens Pl, Saint Louis, MO 63110-1033 | 2006-07-18 |
| 1982622676 | Marc Randall Hammerman | Internal Medicine | 4570 Childrens Pl, Saint Louis, MO 63110-1020 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1700929866 | Rehoboth Pharmacy LLC | Pharmacy | 9944 W Florissant Ave, Saint Louis, MO 63136-1432 | 2007-02-15 |
| 1023173986 | Long Term Care Rx, Inc. | Pharmacy | 1a Document Dr, Saint Louis, MO 63114 | 2006-12-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.