CARESTL HEALTH #4
NPI 1023466984
Pharmacy - Clinic Pharmacy in Saint Louis, MO

Active since June 01, 2016CLIA Certified · 2 labs
4500 POPE AVE, SAINT LOUIS, MO 63115(314) 385-3990(314) 389-2464 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 14, 2020, Feb 6, 2020, May 3, 2018 (3 updates tracked since 2018).

About Carestl Health #4 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARESTL HEALTH #4 (NPI 1023466984) is a healthcare organization registered as a clinic pharmacy in Saint Louis, Missouri and active in the NPI registry since June 2016. The organization holds 2 active CLIA laboratory certificates and lists Angela R Archibald-clabon, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1023466984
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameCARESTL HEALTH #4
Location Address4500 POPE AVESaint Louis, MO 63115
Mailing Address4500 Pope AveSaint Louis, MO 63115-2512 · (314) 385-3990 · Fax (314) 389-2464
Fax(314) 389-2464
Organization SubpartNo
Authorized OfficialAngela R Archibald-clabonChief Executive Officer · (314) 367-5820
Enumeration DateJune 1, 2016
Last NPPES UpdateSeptember 14, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
NPI 1023466984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in MO · 2016012067
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
4500 POPE AVE, Saint Louis, MO 63115

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2103942

Care Stl Health (pope) · Saint Louis, MO
Active · expires Dec 8, 2027
CLIA Number26D2103942
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorOlivia J. Ludwig
Laboratory Phone(314) 367-4011
Laboratory LocationCare Stl Health (pope)4500 Pope Ave, Saint Louis, MO 63115
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 26D0438768

Carestl Health (mlk) · Saint Louis, MO
Active · expires Jan 6, 2027
CLIA Number26D0438768
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorOlivia J. Ludwig
Laboratory Phone(314) 367-5820
Laboratory LocationCarestl Health (mlk)5471 Dr Martin Luther King Dr, Saint Louis, MO 63112
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
4500 POPE AVE
SAINT LOUIS, MO 63115
Clinic/Center (Federally Qualified Health Center (FQHC))
4500 POPE AVE
SAINT LOUIS, MO 63115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carestl Health #4's NPI number?

The NPI number for Carestl Health #4 is 1023466984. It was assigned to this organization in the NPPES registry on June 1, 2016.

Where is Carestl Health #4 located?

Carestl Health #4 is located at 4500 Pope Ave, Saint Louis, MO 63115. The listed phone number is (314) 385-3990.

What is Carestl Health #4's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Carestl Health #4 hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Carestl Health #4 accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 39 other insurers list Carestl Health #4 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carestl Health #4 was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.