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DIERBERGS MARKETS INC NPI 1003906041


NPI Information

NPI: 1003906041
Provider Name: DIERBERGS MARKETS INC

Doing Business As: DIERBERGS HERITAGE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
12595 OLIVE STREET ROAD
ST LOUIS, MO
ZIP 63141
Phone: (314) 542-2194
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DIERBERGS MARKETS INC is a community/retail pharmacy pharmacy in St Louis, MO. The provider is 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. DIERBERGS MARKETS INC NPI is 1003906041. The provider is registered as an organization entity type.
The provider Is Doing Business As Dierbergs Heritage Pharmacy.

The provider's business location address is:

12595 OLIVE STREET ROAD
ST LOUIS, MO
ZIP 63141
Phone: (314) 542-2194
Fax: (636) 530-3015

The provider's authorized official is Gregory Guenther .
The authorized official title is Director Of Pharmacy and has the following contact phone number (636) 812-1470.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 1/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy005059MISSOURINo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1603682105MEDICAIDMISSOURI
22626123OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
30580710007MEDICARE ID-TYPE UNSPECIFIED
40580710007MEDICARE NSCMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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