Organization
PEVELY RX
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ALEXANDER WANG PHARMD (PRESIDENT)
(314) 753-8851
Entity
Organization
Contact information
Practice address
8640 COMMERCIAL BLVD, PEVELY, MO 63070-1529
(636) 479-6100
(636) 479-6101
Mailing address
8640 COMMERCIAL BLVD, PEVELY, MO 63070-1529
(636) 479-6100
(636) 479-6101
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012030942
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136810
PK
—
05
—
606585404
—
MO
Enumeration date
09/02/2012
Last updated
06/10/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up