Olive Street Pharmacy LLC
NPI 1104249168 · Pharmacy · Creve Coeur, MO
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Olive Street Pharmacy LLC is a Pharmacy organization in Creve Coeur, MO (NPI 1104249168).
Provider details
- NPI number
- 1104249168
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Alexander Shlafshteyn, Member(314) 736-5555
Specialties & taxonomies
Suppliers
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Registry dates
- Enumerated
- 2014-01-28
- Last updated
- 2021-12-30
- Certified
- 2021-12-30
Frequently asked questions
- What is Olive Street Pharmacy LLC's NPI number?
- Olive Street Pharmacy LLC's National Provider Identifier (NPI) is 1104249168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olive Street Pharmacy LLC?
- Olive Street Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Olive Street Pharmacy LLC located?
- Olive Street Pharmacy LLC's practice location on file with NPPES is 10420 Old Olive Street Rd Ste 103, Creve Coeur, MO 63141-5937.
- What is Olive Street Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Olive Street Pharmacy LLC is (314) 736-5555.
- Does Olive Street Pharmacy LLC accept Medicare?
- Olive Street 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 Olive Street Pharmacy LLC?
- The authorized official listed on Olive Street Pharmacy LLC's NPPES record is Alexander Shlafshteyn, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olive Street Pharmacy LLC's NPI active?
- Yes — Olive Street Pharmacy LLC's NPI (1104249168) is active in the NPPES registry as of the last update on 2021-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.