Organization
JSB GROUP LLC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUINN RPH (MEDICAID MEDICARE BILLING SPEC)
(314) 993-6000
Entity
Organization
Contact information
Practice address
2386 N HIGHWAY 67, FLORISSANT, MO 63033-2034
(314) 921-7700
(314) 921-3520
Mailing address
12130 LADUE RD, SAINT LOUIS, MO 63141-8121
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19406169
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22038815
—
MO
01
—
2615752
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
600658108
—
MO
Enumeration date
08/20/2006
Last updated
10/16/2008
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