Organization
GRAND MEDICAL GROUP LLC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
3137 S GRAND BLVD, SAINT LOUIS, MO 63118-1020
(314) 865-1528
(314) 865-5219
Mailing address
3137 S GRAND BLVD, SAINT LOUIS, MO 63118-1020
(314) 865-1528
(314) 865-5219
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2008019033
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2638027
NCPDP
MO
Enumeration date
06/17/2008
Last updated
08/15/2008
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