OLIVE STREET PHARMACY LLC
OLIVE STREET PHARMACY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104249168, based in Creve Coeur, MO. The organization lists 4 taxonomy classifications, with Pharmacy recorded as primary.
Getting there
The practice address on file is 10420 OLD OLIVE STREET RD STE 103, Creve Coeur, MO 63141. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 0941543631
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pharmacy covers
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. NUCC Health Care Provider Taxonomy, code 333600000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 333600000X | Pharmacy | — | — | primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | — | — | |
| 3336S0011X | Specialty Pharmacy Specialty Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104249168 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 28, 2014 |
| Last updated | Dec 30, 2021 |
| Status | Active |
| Practice address |
10420 OLD OLIVE STREET RD STE 103 Creve Coeur, MO 63141 (314) 736-5555 Fax (314) 736-5500 |
| Mailing address |
10420 OLD OLIVE STREET RD Creve Coeur, MO 63141 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 2 | 4 | 9 | 1 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 4 | 4 | 9 | 1 | 3 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.