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PEVELY RX
NPI 1043138225
Pharmacy - Long Term Care Pharmacy in Pevely, MO

Active since July 07, 2026
8640 COMMERCIAL BLVD, PEVELY, MO 63070(636) 479-6100(636) 479-6101 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pevely Rx NPPES

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

PEVELY RX (NPI 1043138225) is a healthcare organization registered as a long term care pharmacy in Pevely, Missouri and active in the NPI registry since July 2026. The organization lists Megan Moore, Book Keeper, as its authorized official.

NPPES Registry Identity

NPI1043138225
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePEVELY RX
Location Address8640 COMMERCIAL BLVDPevely, MO 63070-1529
Mailing Address8640 Commercial BlvdPevely, MO 63070-1529 · (636) 479-6100 · Fax (636) 479-6101
Phone(636) 479-6100
Fax(636) 479-6101
Organization SubpartNo
Authorized OfficialMegan MooreBook Keeper · (636) 579-6750
Enumeration DateJuly 7, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1043138225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
8640 COMMERCIAL BLVD, Pevely, MO 63070
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 26D2048223

Pevely Rx Inc Dba Medicine Shoppe 1985 · Pevely, MO
Expired · Oct 10, 2026
CLIA Number26D2048223
Laboratory TypePharmacy
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorJason Wang
Laboratory Phone(636) 479-6100
Laboratory LocationPevely Rx Inc Dba Medicine Shoppe 1985Jason Wang Pharm D 8640 Commercial Blvd, Pevely, MO 63070
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. VICTORIA LYNN VIEHMAN PHARMD
Pharmacist
8640 COMMERCIAL BLVD
PEVELY, MO 63070
Jefferson County (636) 479-6100
ERIN MARIE DITCH PHARMD
Pharmacist
8640 COMMERCIAL BLVD
PEVELY, MO 63070
Jefferson County (636) 479-6100
MRS. MADONNA ANN MCFARLAND RPH
Pharmacist
8640 COMMERCIAL BLVD
PEVELY, MO 63070
Jefferson County (636) 479-6100
PEVELY RX
Pharmacy (Community/Retail Pharmacy)
8640 COMMERCIAL BLVD
PEVELY, MO 63070
Jefferson County (636) 479-6100
DR. HOLLIE MARIE ROEDEL PHARMD
Pharmacist
8640 COMMERCIAL BLVD
PEVELY, MO 63070
Jefferson County (636) 479-6100
DR. JASON ALEXANDER WANG PHARM.D.
Pharmacist
8640 COMMERCIAL BLVD
PEVELY, MO 63070
Jefferson County (636) 479-6100
TUYET MAI THI HUYNH
Pharmacist
8640 COMMERCIAL BLVD
PEVELY, MO 63070
Jefferson County (636) 479-6100

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 Pevely Rx's NPI number?

The NPI number for Pevely Rx is 1043138225. It was assigned to this organization in the NPPES registry on July 7, 2026.

Where is Pevely Rx located?

Pevely Rx is located at 8640 Commercial Blvd, Pevely, MO 63070. The listed phone number is (636) 479-6100.

What is Pevely Rx's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Pevely Rx accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 24 other insurers list Pevely Rx 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 Pevely Rx was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.