1101a North Jefferson Pharmacy LLC
NPI 1093558009ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Saint Louis, MO
Pharmacy, Long Term Care Pharmacy in Saint Louis, Missouri, registered in NPPES in June 2024. The authorized official on file is Sandra Jamron, Managing Member. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1093558009 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2024 |
| Last updated in NPPES | Jun 17, 2024 |
| Certified by provider | Jun 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (MO) |
|---|
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