BLOOMSDALE PHARMACY – NPI #1699028415
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.

BLOOMSDALE PHARMACY is a pharmacy located in BLOOMSDALE, MO. NPPES has assigned the NPI number 1699028415 to BLOOMSDALE PHARMACY on October 17, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLOOMSDALE PHARMACY” is a dba name, the actual legal business name for this organization is STE GENEVIEVE COUNTY MEMORIAL HOSPITAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 3 years ago on Jan 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLOOMSDALE PHARMACY below.

NPI Profile for
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

NPI Number
1699028415
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Doing Business As (dba): BLOOMSDALE PHARMACY
Primary location
255 BODERMAN
SUITE 1E
BLOOMSDALE, MO 63627
Phone: (573) 483-2626 Fax: (573) 883-1185
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMANDA WOLK
BUSINESS OFFICE DIRECTOR
Phone: (573) 883-7703
Updated
Certification Date
Jan 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BLOOMSDALE PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPK2137520
medicaidMO600004992
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
MO 2012036011
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.