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WASHINGTON UNIVERSITY CANCER CENTER PHARMACY-SOUTH COUNTY
NPI 1104162999
Pharmacy - Community/Retail Pharmacy in Saint Louis, MO

Active since December 24, 2012CLIA Certified · 2 labs
5225 MIDAMERICA PLZ, SAINT LOUIS, MO 63129(314) 286-1929(314) 286-1788 Get Directions Write a Review

NPPES record last updated: December 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Washington University Cancer Center Pharmacy-south County NPPES

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

WASHINGTON UNIVERSITY CANCER CENTER PHARMACY-SOUTH COUNTY (NPI 1104162999) is a healthcare organization registered as a community/retail pharmacy in Saint Louis, Missouri and active in the NPI registry since December 2012. The organization holds 2 active CLIA laboratory certificates and lists Byron Peters, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1104162999
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWASHINGTON UNIVERSITY
Location Address5225 MIDAMERICA PLZSaint Louis, MO 63129-0002
Mailing Address5225 Midamerica PlzSaint Louis, MO 63129-0002 · (314) 286-1929 · Fax (314) 286-1788
Phone(314) 286-1929
Fax(314) 286-1788
Organization SubpartNo
Authorized OfficialByron PetersPharmacy Director · (314) 747-2472
Enumeration DateDecember 24, 2012
✔ NPI 1104162999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 2012041103
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
5225 MIDAMERICA PLZ, Saint Louis, MO 63129
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Other Names 1

Doing Business AsWashington University Cancer Center Pharmacy-south County

Other Identifiers 1

Other2640806Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..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 26D2230723

Washington University Multispecialty Center · Saint Louis, MO
Active · expires Jul 26, 2027
CLIA Number26D2230723
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorCassandra E. Pruitt
Laboratory Phone(314) 454-3278
Laboratory LocationWashington University Multispecialty CenterWu Multispecialty 3a-5114 Midamerica Ln Suite 3A, Saint Louis, MO 63129
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2325057

Washington University School Of Medicine · Saint Louis, MO
Active · expires Jun 4, 2027
CLIA Number26D2325057
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorDaniel Link
Laboratory Phone(314) 286-2272
Laboratory LocationWashington University School Of Medicine5225 Midamerica Plaza, Saint Louis, MO 63129
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Washington University's NPI number?

The NPI number for Washington University is 1104162999. It was assigned to this organization in the NPPES registry on December 24, 2012. The provider is doing business as Washington University Cancer Center Pharmacy-South County.

Where is Washington University located?

Washington University is located at 5225 Midamerica Plz, Saint Louis, MO 63129. The listed phone number is (314) 286-1929.

What is Washington University's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Washington University 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 Washington University accept?

Health plans from Medica and Moda Health Plan, Inc. list Washington University 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 Washington University was last updated on December 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.