Organization · Type 2 NPI

Pevely RX

Community/Retail Pharmacy · Pevely, MO

NPI number 1790034064 Active

Practice location

8640 Commercial Blvd
Pevely, MO 63070-1529

Fax (636) 479-6101

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	2012030942 (MO)
Compounding Pharmacy	3336C0004X	None listed
Long Term Care Pharmacy	3336L0003X	None listed

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 …

7 other providers at this address

NPI record

NPI: 1790034064
Entity type: Organization (Type 2)
Issued: Sep 2, 2012
Last updated: Jun 10, 2024
Status: Active

Other names

<unavail>
The Medicine Shoppe Pharmacy · doing business as
The Medicine Shoppe Pharmacy · doing business as

Authorized official

Dr. Jason Alexander Wang, PharmD
President
(314) 753-8851

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 1790034064

Pevely RX's National Provider Identifier is 1790034064, issued on Sep 2, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Pevely, MO. The record was last updated on Jun 10, 2024.