ANDREW LANDEROS (NPI# 1215464904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215464904 |
| Entity Type | Individual |
| Full Name | ANDREW LANDEROS |
| Practice Address |
12647 Olive Blvd Ste 600 Saint Louis MO 63141-6346 |
| Practice Telephone | 8003253982 |
| Practice Fax Number | 8776859880 |
| Mailing Telephone | 8003253982 |
| Mailing Fax Number | 8776859880 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 75524 | CA | Pharmacy Service Providers |
| Street Address |
12647 OLIVE BLVD STE 600 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164548426 | David Rosenman | Psychiatry & Neurology | 12647 Olive Blvd Ste 600, Spectrum Healthcare Inc. Attn: Ashley Kendl, Saint Louis, MO 63141-6346 | 2007-03-21 |
| 1487270906 | Michelle Lynn Crandell | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2020-06-20 |
| 1427683267 | Karenia Li | Psychologist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2020-03-11 |
| 1619527280 | Andrew Joseph Reinhart | Pharmacist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2019-09-16 |
| 1508335779 | Gerard Forster | Physician Assistant | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2018-11-17 |
| 1477047660 | Deborah L Stevens-conrad | Pharmacist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141 | 2018-06-20 |
| 1457865552 | Debbie Cathy Yen | Pharmacist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2017-11-28 |
| 1124539978 | Evelyn Virginia Rogers | Counselor | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2017-10-19 |
| 1336674266 | Nicole Stover | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2017-04-28 |
| 1811354541 | Jill Mari Kazmer | Dental Hygienist | 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 | 2016-01-26 |
| Find all providers in the same location | ||||
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| 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 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.