Organization · Type 2 NPI

SSM Health Care ST Louis

Specialty Pharmacy · St. Louis, MO

NPI number 1275265167 Active

Practice location

3662 Park Ave Ste 155
St. Louis, MO 63110-2512

Fax (855) 847-3558

Specialties and licenses

Taxonomy	Code	License
Specialty Pharmacy Primary	3336S0011X	None listed

Specialty Pharmacy: A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Another provider at this address

Brandon Corpening, PharmDPharmacist St. Louis, MO NPI 1376982090

Other specialty pharmacy providers in St. Louis

See all in St. Louis →

NPI record

NPI: 1275265167
Entity type: Organization (Type 2)
Issued: Jun 29, 2022
Last updated: Jun 25, 2026
Status: Active

Other names

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SSM Health Specialty Pharmacy · doing business as
SSM Health Specialty Pharmacy · doing business as

Authorized official

Jeremy Fotheringham
Regional President
(557) 203-4048

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275265167

SSM Health Care ST Louis's National Provider Identifier is 1275265167, issued on Jun 29, 2022. The primary taxonomy on file is Specialty Pharmacy (3336S0011X), and the practice location is in St. Louis, MO. The record was last updated on Jun 25, 2026.