1101a North Jefferson Pharmacy LLC
NPI 1093558009 · Long Term Care Pharmacy · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
1101a North Jefferson Pharmacy LLC is a Long Term Care Pharmacy organization in Saint Louis, MO (NPI 1093558009).
Provider details
- NPI number
- 1093558009
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sandra Jamron, Managing Member(636) 242-8844
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Boca Pharmacy
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is 1101a North Jefferson Pharmacy LLC's NPI number?
- 1101a North Jefferson Pharmacy LLC's National Provider Identifier (NPI) is 1093558009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1101a North Jefferson Pharmacy LLC?
- 1101a North Jefferson Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is 1101a North Jefferson Pharmacy LLC located?
- 1101a North Jefferson Pharmacy LLC's practice location on file with NPPES is 1101a N Jefferson Ave, Saint Louis, MO 63106-2222.
- What is 1101a North Jefferson Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for 1101a North Jefferson Pharmacy LLC is (636) 242-8844.
- Does 1101a North Jefferson Pharmacy LLC accept Medicare?
- 1101a North Jefferson Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 1101a North Jefferson Pharmacy LLC?
- The authorized official listed on 1101a North Jefferson Pharmacy LLC's NPPES record is Sandra Jamron, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1101a North Jefferson Pharmacy LLC's NPI active?
- Yes — 1101a North Jefferson Pharmacy LLC's NPI (1093558009) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.