SSM-SLUH, INC. (NPI# 1629695838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629695838 |
| Entity Type | Organization |
| Organization Name | SSM-SLUH, INC. |
| Practice Address |
1225 S Grand Blvd Saint Louis MO 63104-1016 |
| Practice Telephone | 3142687153 |
| Practice Fax Number | 3142685166 |
| Mailing Telephone | 3142687153 |
| Mailing Fax Number | 3142685166 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |
| Authorized Official Name | MR. TIM BULLER (VP OF FINANCE) |
| Authorized Official Telephone | 3149892173 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| SSM Health Pharmacy at Saint Louis University Hospital | Doing Business As Name - Organization |
| Street Address |
1225 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265496871 | Thomas I Porter | Optometrist | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2006-04-12 |
| 1740838333 | Eduardo Buchele Rodrigues | Ophthalmology | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2019-08-28 |
| 1528596566 | Katie M Loock | Optometrist | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2017-06-02 |
| 1356725832 | Muhammad Zaheer | Internal Medicine | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2015-07-15 |
| 1225428980 | Niloofar Piri | Ophthalmology | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2015-02-02 |
| 1689099830 | Swetaben Patel | Nurse Practitioner | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2014-02-25 |
| 1679998272 | Angela Prost Keller | Nurse Practitioner | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2014-02-19 |
| 1255763561 | Lokesh Rukmangadachar | Psychiatry & Neurology | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2013-08-08 |
| 1598106874 | Momina Soudagar Turkey | Psychiatry & Neurology | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2013-07-15 |
| 1376898536 | Joanna Isabelle Ramiro | Psychiatry & Neurology | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2012-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| 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 | 63104 |
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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.