SCHNUCK MARKETS INC (NPI# 1700812054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700812054 |
| Entity Type | Organization |
| Organization Name | SCHNUCK MARKETS INC |
| Other Organization Name | SCHNUCKS PHARMACY |
| Practice Address |
4127 N Grand Blvd Saint Louis MO 63107-1847 |
| Mailing Address |
11420 Lackland Rd Saint Louis MO 63146-3559 |
| Practice Telephone | 3145311415 |
| Practice Fax Number | 3145316315 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | LISA HERZWURM (MGR 3RD PARTY CLAIMS) |
| Authorized Official Telephone | 3149944902 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCHNUCK MARKETS INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 005830 | MO | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 005830 | MO | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2629939 | 01 |
| Other Name | Type Code |
|---|---|
| SCHNUCKS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139234 | Schnuck Markets Inc | Registered Nurse | 100 Jungermann Rd, Saint Peters, MO 63376-1608 | 2018-09-27 |
| 1447735295 | Schnuck Markets Inc | Registered Nurse | 1421 Mexico Loop Rd E, O Fallon, MO 63366-6017 | 2018-09-27 |
| 1154800241 | Schnuck Markets Inc | Registered Nurse | 11550 Page Service Dr Ste 101a, Saint Louis, MO 63146-3531 | 2018-08-09 |
| 1497266472 | Schnuck Markets Inc | Pharmacy | 19 S Kingshighway St Ste B, Cape Girardeau, MO 63703-5742 | 2017-10-18 |
| 1497920375 | Schnuck Markets Inc | Pharmacy | 11420 Lackland Rd, Saint Louis, MO 63146-3559 | 2008-04-23 |
| 1093743189 | Schnuck Markets Inc | Pharmacy | 10148 W Florissant Ave, Saint Louis, MO 63136-2104 | 2006-06-29 |
| 1093741340 | Schnuck Markets Inc | Durable Medical Equipment & Medical Supplies | 2511 State St, East Saint Louis, IL 62205-2322 | 2006-06-25 |
| 1801822150 | Schnuck Markets Inc | Durable Medical Equipment & Medical Supplies | 945 Goodman Rd E, Southaven, MS 38671-9535 | 2006-06-25 |
| 1487680906 | Schnuck Markets Inc | Durable Medical Equipment & Medical Supplies | 3150 N Rockton Ave, Rockford, IL 61103-2837 | 2006-06-25 |
| 1811923162 | Schnuck Markets Inc | Durable Medical Equipment & Medical Supplies | 110 Carlyle Plaza Dr, Belleville, IL 62221-6678 | 2006-06-25 |
| Street Address |
4127 N GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63107-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
| 1932515012 | Christopher L Adams | Counselor | 4220 North Grand Blvd, St.louis, MO 63107 | 2014-07-09 |
| 1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
| 1700209467 | Calvin Garner | Social Worker | 7018 Destrehan, St Louis, MO 63107 | 2014-01-30 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1518189141 | Excel Home Health Care | Chore Provider | 2125 Bissell St, St. Louis, MO 63107 | 2007-05-03 |
| 1407375314 | Shayla Dana Smith | Counselor | 4220 Grand Ave, St Louis, MO 63107 | 2017-09-12 |
| 1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
| Find all providers in zip 63107 | ||||
| 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 | 63107 |
Please comment or provide details below to improve the information on SCHNUCK MARKETS INC.
| 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.