OLIVE STREET PHARMACY LLC
NPI 1104249168
Pharmacy in Creve Coeur, MO

Active since January 28, 2014
10420 OLD OLIVE STREET RD STE 103, CREVE COEUR, MO 63141(314) 736-5555(314) 736-5500 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2021, May 3, 2019 (2 updates tracked since 2019).

About Olive Street Pharmacy Llc NPPES

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

OLIVE STREET PHARMACY LLC (NPI 1104249168) is a healthcare organization registered as a pharmacy in Creve Coeur, Missouri and active in the NPI registry since January 2014. The organization lists Alexander Shlafshteyn, Member, as its authorized official.

NPPES Registry Identity

NPI1104249168
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameOLIVE STREET PHARMACY LLC
Location Address10420 OLD OLIVE STREET RD STE 103Creve Coeur, MO 63141-5937
Mailing Address10420 Old Olive Street RdCreve Coeur, MO 63141-5914 · (314) 736-5555 · Fax (314) 736-5500
Fax(314) 736-5500
Organization SubpartNo
Authorized OfficialAlexander ShlafshteynMember · (314) 736-5555
Enumeration DateJanuary 28, 2014
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
NPI 1104249168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
10420 OLD OLIVE STREET RD STE 103, Creve Coeur, MO 63141

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 28

Medicare supplier enrollment and the product categories Olive Street Pharmacy, LLC carries, from the Medicare DMEPOS supplier directory.

Olive Street Pharmacy, LLC

DMEPOS supplier · Creve Coeur, MO

Accepts Medicare assignment

Olive Street Pharmacy, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20422451
Medicare Participant SinceFebruary 21, 2019
Supplier Location10420 Old Olive Street Rd Ste 103Creve Coeur, MO 63141
Supplier Specialties
Medical Supply Company Other Pharmacy

Medicare Product Categories

Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Olive Street Pharmacy LLC's NPI number?

The NPI number for Olive Street Pharmacy LLC is 1104249168. It was assigned to this organization in the NPPES registry on January 28, 2014.

Where is Olive Street Pharmacy LLC located?

Olive Street Pharmacy LLC is located at 10420 Old Olive Street Rd Ste 103, Creve Coeur, MO 63141. The listed phone number is (314) 736-5555.

What is Olive Street Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Olive Street Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Olive Street Pharmacy, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Olive Street Pharmacy LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Olive Street Pharmacy LLC 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 Olive Street Pharmacy LLC was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.