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CARDINAL PHARMACY
NPI 1285243972
Pharmacy - Community/Retail Pharmacy in O Fallon, MO

Active since July 28, 2020
108 TRIAD CTR W, O FALLON, MO 63366(833) 347-4217(877) 646-0735 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Nov 25, 2020, Sep 29, 2020 and 1 more (4 updates tracked since 2020).

About Cardinal Pharmacy NPPES

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

CARDINAL PHARMACY (NPI 1285243972) is a healthcare organization registered as a community/retail pharmacy in O Fallon, Missouri and active in the NPI registry since July 2020. The organization lists Sierra Degomez, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1285243972
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameO'FALLON PHARMACY, LLC
Location Address108 TRIAD CTR WO Fallon, MO 63366-7541
Mailing Address108 Triad Ctr WO Fallon, MO 63366-7541 · (833) 347-4217 · Fax (877) 646-0735
Phone(833) 347-4217
Fax(877) 646-0735
Organization SubpartNo
Authorized OfficialSierra DegomezManaging Member · (833) 347-4217
Enumeration DateJuly 28, 2020
Last NPPES UpdateDecember 8, 20204 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1285243972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
108 TRIAD CTR W, O Fallon, MO 63366
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Other Names 1

Doing Business AsCardinal Pharmacy

Other Providers at the Same Location NPPES

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

META PHARMACY SOLUTIONS
Pharmacy (Community/Retail Pharmacy)
108 TRIAD CTR W
O FALLON, MO 63366
St. Charles County (636) 206-8742

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 O'fallon Pharmacy, LLC's NPI number?

The NPI number for O'fallon Pharmacy, LLC is 1285243972. It was assigned to this organization in the NPPES registry on July 28, 2020. The provider is doing business as Cardinal Pharmacy.

Where is O'fallon Pharmacy, LLC located?

O'fallon Pharmacy, LLC is located at 108 Triad Ctr W, O Fallon, MO 63366. The listed phone number is (833) 347-4217.

What is O'fallon Pharmacy, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for O'fallon Pharmacy, LLC was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.