OrganizationActive
Medical West Pharmacy, Inc
NPI 1104066778 · Durable Medical Equipment & Medical Supplies · Saint Louis, MO
Provider details
- NPI number
- 1104066778
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Kenneth Sandler, President(314) 993-7900
- License
- 850200908 (MO)
Specialties & taxonomies
Suppliers
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 850200908 (MO)
Residential Treatment Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
19 Ronnies Plz
Saint Louis, MO 63126-3552
Phone: (314) 290-2200
Fax: (314) 902-2220
Approximate (ZIP-level) locationGet directions
Mailing address
9301 Dielman Industrial Dr
Saint Louis, MO 63132-2204
Other names (DBA / former)
- Doing business as
- Medical West Healthcare Center
Registry dates
- Enumerated
- 2009-02-23
- Last updated
- 2012-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.