Foundation Care LLC
NPI 1205831963ActiveOrganization· Pharmacy· Chesterfield, MO
Pharmacy in Chesterfield, Missouri, registered in NPPES in June 2005. The authorized official on file is Jessica Dawn Ciccolella-Kahl, President, Director. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1205831963 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2005 |
| Last updated in NPPES | May 22, 2024 |
| Certified by provider | May 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 2004013283 | MO |
| Home Infusion | 251F00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2004013283 | MO |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MO); Part B Supplier - Mass Immunization (Roster Biller Only) (MO); Part B Supplier - Pharmacy (MO) |
|---|
Other Pharmacy providers in Chesterfield
- 1427923507
- 1750994869
- 1649751744
- 1629239975
- 1780606483
- 1306778865
- 1881501252
- 1841737384
- 1639738438
- 1164439170
- 1275548216
- 1568477701