CARESTL HEALTH #3 (NPI# 1740206697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740206697 |
Entity Type | Organization |
Organization Name | CARESTL HEALTH #3 |
Other Organization Name | HOMER G PHILLIPS HEALTH CNTR |
Practice Address |
2425 Whittier St Saint Louis MO 63113-2950 |
Practice Telephone | 3143713100 |
Practice Fax Number | 3145354662 |
Mailing Telephone | 3143713100 |
Mailing Fax Number | 3145354662 |
Enumeration Date | 2006-07-14 |
Last Update Date | 2020-09-14 |
Authorized Official Name | MRS. ANGELA RENEE CLABON (CEO) |
Authorized Official Telephone | 3143675820 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
2005035951 | MO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 2636299 | 01 |
Other Name | Type Code |
---|---|
HOMER G PHILLIPS HEALTH CNTR | Doing Business As Name - Organization |
Street Address |
2425 WHITTIER ST |
City | SAINT LOUIS |
State | MO |
Zip Code | 63113-2950 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248922 | Natasha L Shelton | Registered Nurse | 2425 Whittier St, Saint Louis, MO 63113-2950 | 2020-09-01 |
1356860159 | A Plus Health and Wellness Center Inc. | Clinic/Center | 2425 Whittier St, Saint Louis, MO 63113-2950 | 2017-09-12 |
1801197744 | Carestl Health | Durable Medical Equipment & Medical Supplies | 2425 Whittier St, Saint Louis, MO 63113 | 2010-11-09 |
1376685529 | Carestl Health | Clinic/Center | 2425 Whittier St, Saint Louis, MO 63113-2950 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
Find all providers in zip 63113 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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 |
---|---|---|---|---|
1912483496 | Anna Rivkin | Pharmacy | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2018-07-17 |
1578608808 | Betty Jean Kerr People's Health Centers | Pharmacy | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2007-02-21 |
1609969880 | Ssm Cardinal Glennon Childrens Hospital | Pharmacy | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-10-02 |
1134134745 | Affinia Healthcare | Pharmacy | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2006-07-30 |
1093731945 | Affinia Healthcare | Pharmacy | 1717 Biddle St, Saint Louis, MO 63106-3454 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
1649612219 | Metro Treatment of Missouri, Lp | Pharmacy | 3935 Sherman Ave, Saint Joseph, MO 64506-3649 | 2013-07-24 |
1437389723 | Walgreen Co | Pharmacy | 505 S Commercial St, Harrisonville, MO 64701-1651 | 2009-07-21 |
1932379369 | Dowel LLC | Pharmacy | 810 W 35th St, Ste 101, Higginsville, MO 64037-1872 | 2008-02-29 |
1760673248 | Walgreen Co | Pharmacy | 100 Jason Dr, Troy, MO 63379-1944 | 2007-08-08 |
1639213267 | Central Pharmacy | Pharmacy | 1611 Lurlyn Dr, Poplar Bluff, MO 63901-2763 | 2007-02-16 |
1154427516 | Kreisler Clnic Pharmacy | Pharmacy | 1602 N. Second St., Clinton, MO 64735 | 2006-09-15 |
1720566805 | Advocates for A Healthy Community, Inc. | Pharmacy | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-01 |
1891236170 | Advocates for A Healthy Community, Inc. | Pharmacy | 860 Lynn St, Lebanon, MO 65536-3832 | 2017-03-20 |
1346696572 | Burrell, Inc. | Pharmacy | 3401 Berrywood Dr, Suite 102, Columbia, MO 65201-6515 | 2016-05-06 |
Find all providers with the same taxonomy |
City | SAINT LOUIS |
Zip Code | 63113 |
Please comment or provide details below to improve the information on CARESTL HEALTH #3.
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.