Missouri Ltc Pharmacy LLC
NPI 1134668445ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Fenton, MO
Pharmacy, Long Term Care Pharmacy in Fenton, Missouri, registered in NPPES in February 2017. The authorized official on file is Janice Ceriotti, Chief Operating Officer. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - pharmacy.
Overview
| NPI | 1134668445 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2017 |
| Last updated in NPPES | Jun 5, 2026 |
| Certified by provider | Jun 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | — | — |
| Pharmacy | 333600000X | — | — |
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 DME Supplier - Pharmacy (MO); Part B Supplier - Pharmacy (MO) |
|---|
Other Pharmacy, Long Term Care Pharmacy providers in Fenton
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