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FITZPATRICK PHARMACY INC
NPI 1154425114
Pharmacy - Community/Retail Pharmacy in Ballwin, MO

Active since September 12, 2006
15394 MANCHESTER RD, BALLWIN, MO 63011(636) 394-6622(636) 394-9222 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fitzpatrick Pharmacy Inc NPPES

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

FITZPATRICK PHARMACY INC (NPI 1154425114) is a healthcare organization registered as a community/retail pharmacy in Ballwin, Missouri and active in the NPI registry since September 2006. The organization lists Mark Rathgeber, Owner, as its authorized official.

NPPES Registry Identity

NPI1154425114
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFITZPATRICK PHARMACY INC
Location Address15394 MANCHESTER RDBallwin, MO 63011-3052
Mailing Address15394 Manchester RdBallwin, MO 63011-3052 · (636) 394-6622 · Fax (636) 394-9222
Phone(636) 394-6622
Fax(636) 394-9222
Organization SubpartNo
Authorized OfficialMark RathgeberOwner · (636) 394-6622
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJanuary 17, 2017
✔ NPI 1154425114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · PS006166
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
15394 MANCHESTER RD, Ballwin, MO 63011
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Other Names 1

Doing Business AsFitzpatrick Pharmacy Inc

Other Identifiers 4

Medicaid620397307MO
Other2049588Pk
Medicaid600397301MO
Medicare NSC0492370001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Fitzpatrick Pharmacy carries, from the Medicare DMEPOS supplier directory.

Fitzpatrick Pharmacy

DMEPOS supplier · Ellisville, MOOperated by Fitzpatrick Pharmacy Inc
⋮

Does not accept Medicare assignment

Fitzpatrick Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20661371
Medicare Participant SinceJanuary 1, 1998
Supplier Location15394 Manchester RdEllisville, MO 63011
Phone(636) 394-6622
Supplier Specialties
Certified Other Orthotic Personnel Pharmacy

Medicare Product Categories

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
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Wheelchairs (Standard Manual)
Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
Wheelchairs (Standard Manual Related Accessories)
Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

OMOBOLA TAIWO RPH
Pharmacist
15394 MANCHESTER RD
ELLISVILLE, MO 63011
St. Louis County (636) 394-6622

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 Fitzpatrick Pharmacy Inc's NPI number?

The NPI number for Fitzpatrick Pharmacy Inc is 1154425114. It was assigned to this organization in the NPPES registry on September 12, 2006.

Where is Fitzpatrick Pharmacy Inc located?

Fitzpatrick Pharmacy Inc is located at 15394 Manchester Rd, Ballwin, MO 63011. The listed phone number is (636) 394-6622.

What is Fitzpatrick Pharmacy Inc's specialty?

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

Does Fitzpatrick Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Fitzpatrick Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Fitzpatrick Pharmacy Inc 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 49 other insurers list Fitzpatrick Pharmacy Inc 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 Fitzpatrick Pharmacy Inc was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.