Ssm Health Care St. Louis
NPI 1639928690 · Community/Retail Pharmacy · O Fallon, MO
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ssm Health Care St. Louis is a Community/Retail Pharmacy organization in O Fallon, MO (NPI 1639928690).
Provider details
- NPI number
- 1639928690
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Ssm Health Care St. Louis
- Organization subpart
- Yes
- Authorized official
- Jeremy Fotheringham, Regional President(314) 994-7930
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
- Ssm Health Prescription Center
- Doing business as
- Ssm Health Prescription Center
Registry dates
- Enumerated
- 2024-05-14
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Ssm Health Care St. Louis's NPI number?
- Ssm Health Care St. Louis's National Provider Identifier (NPI) is 1639928690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ssm Health Care St. Louis?
- Ssm Health Care St. Louis is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Ssm Health Care St. Louis located?
- Ssm Health Care St. Louis's practice location on file with NPPES is 301 Caledonia Pkwy Ste 110, O Fallon, MO 63368-6690.
- What is Ssm Health Care St. Louis's phone number?
- The practice phone number listed in the NPPES registry for Ssm Health Care St. Louis is (636) 202-6810.
- Does Ssm Health Care St. Louis accept Medicare?
- Ssm Health Care St. Louis 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 Ssm Health Care St. Louis?
- The authorized official listed on Ssm Health Care St. Louis's NPPES record is Jeremy Fotheringham, Regional President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ssm Health Care St. Louis's NPI active?
- Yes — Ssm Health Care St. Louis's NPI (1639928690) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.