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DR. ETHAN MICHAEL ODINEAL PHARMD
NPI 1144824079
Pharmacist in Dardenne Prairie, MO

Active since November 22, 2020
7909 HIGHWAY N, DARDENNE PRAIRIE, MO 63368(636) 561-8450(636) 561-8450 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2022, Nov 22, 2020 (2 updates tracked since 2020).

About Dr. Ethan Michael Odineal Pharmd NPPES

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

DR. ETHAN MICHAEL ODINEAL PHARMD (NPI 1144824079) is an individual pharmacist in Dardenne Prairie, Missouri, licensed in Missouri (2022011896) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1144824079
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. ETHAN MICHAEL ODINEALCredential: PHARMD
Location Address7909 HIGHWAY NDardenne Prairie, MO 63368-7382
Mailing Address7909 Highway NDardenne Prairie, MO 63368-7382 · (636) 561-8450 · Fax (636) 561-8455
Phone(636) 561-8450
Fax(636) 561-8450
Sole ProprietorYes
Enumeration DateNovember 22, 2020
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1144824079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in MO · 2022011896✔ Licensed in TN · 43211✔ Licensed in IL · 051.304733✔ Licensed in IN · 26029005A
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
7909 HIGHWAY N, Dardenne Prairie, MO 63368
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

BRIAN HEANEY RPH
Pharmacist
7909 HIGHWAY N
DARDENNE PRAIRIE, MO 63368
St. Charles County (636) 561-8450
SP EMR MED ASSOCIATES LLC
Clinic/Center (Urgent Care)
7909 HIGHWAY N
DARDENNE PRAIRIE, MO 63368
St. Charles County (636) 625-1650
SHIRIN PINTO MD
Emergency Medicine
7909 HIGHWAY N
DARDENNE PRAIRIE, MO 63368
St. Charles County (636) 625-1560
CYNTHIA J MURPHREE FNP BC
Nurse Practitioner (Family)
7909 HIGHWAY N
DARDENNE PRAIRIE, MO 63368
St. Charles County (636) 625-1560
KIMBERLY ANNE BURGESS FNP
Nurse Practitioner
7909 HIGHWAY N
O FALLON, MO 63368
St. Charles County (636) 625-1560
KIMBERLY HADLEY CNP
Nurse Practitioner (Family)
7909 HIGHWAY N
DARDENNE PRAIRIE, MO 63368
St. Charles County (636) 625-1560
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy (Community/Retail Pharmacy)
7909 HIGHWAY N
DARDENNE PRAIRIE, MO 63368
St. Charles County (636) 561-8450

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 Ethan Odineal's NPI number?

The NPI number for Ethan Odineal is 1144824079. It was assigned to this individual provider in the NPPES registry on November 22, 2020.

Where is Ethan Odineal located?

Ethan Odineal practices at 7909 Highway N, Dardenne Prairie, MO 63368. The listed phone number is (636) 561-8450.

What is Ethan Odineal's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ethan Odineal was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.