OrganizationActive
Medbank Pharmacy, LLC
NPI 1376009183 · Community/Retail Pharmacy · Hazelwood, MO
Provider details
- NPI number
- 1376009183
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Haytham Mostafa, Pharmacy Owner and Manager(314) 662-7597
Specialties & taxonomies
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
637 Dunn Rd Ste 100
Hazelwood, MO 63042-1755
Phone: (314) 662-7597
Street-level locationGet directions
Mailing address
1003 Century Oaks Dr Apt H
Manchester, MO 63088-1259
Registry dates
- Enumerated
- 2019-02-17
- Last updated
- 2019-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.