OrganizationActive
O'Fallon Pharmacy, LLC
NPI 1285243972 · Community/Retail Pharmacy · O Fallon, MO
O'Fallon Pharmacy, LLC is a Community/Retail Pharmacy organization in O Fallon, MO (NPI 1285243972).
Provider details
- NPI number
- 1285243972
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sierra Degomez, Managing Member(833) 347-4217
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
108 Triad Ctr W
O Fallon, MO 63366-7541
Phone: (833) 347-4217
Fax: (877) 646-0735
Approximate (ZIP-level) locationGet directions
Mailing address
108 Triad Ctr W
O Fallon, MO 63366-7541
Other names (DBA / former)
- Doing business as
- Cardinal Pharmacy
- Doing business as
- Cardinal Pharmacy
Registry dates
- Enumerated
- 2020-07-28
- Last updated
- 2020-12-08
- Certified
- 2020-12-08
Frequently asked questions
- What is O'Fallon Pharmacy, LLC's NPI number?
- O'Fallon Pharmacy, LLC's National Provider Identifier (NPI) is 1285243972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is O'Fallon Pharmacy, LLC?
- O'Fallon Pharmacy, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is O'Fallon Pharmacy, LLC located?
- O'Fallon Pharmacy, LLC's practice location on file with NPPES is 108 Triad Ctr W, O Fallon, MO 63366-7541.
- What is O'Fallon Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for O'Fallon Pharmacy, LLC is (833) 347-4217.
- Who is the authorized official for O'Fallon Pharmacy, LLC?
- The authorized official listed on O'Fallon Pharmacy, LLC's NPPES record is Sierra Degomez, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is O'Fallon Pharmacy, LLC's NPI active?
- Yes — O'Fallon Pharmacy, LLC's NPI (1285243972) is active in the NPPES registry as of the last update on 2020-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.