KARISSA LEANN DIETERICH PHARM D
NPI 1295601623
Pharmacist in Saint Louis, MO

Active since October 14, 2025
5503 DELMAR BLVD, SAINT LOUIS, MO 63112(314) 200-5313 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karissa Leann Dieterich Pharm D NPPES

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

KARISSA LEANN DIETERICH PHARM D (NPI 1295601623) is an individual pharmacist in Saint Louis, Missouri, licensed in Missouri (2024030404) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1295601623
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKARISSA LEANN DIETERICHCredential: PHARM D
Location Address5503 DELMAR BLVDSaint Louis, MO 63112-3099
Mailing Address322 School StO Fallon, MO 63366-2825
Sole ProprietorNo
Enumeration DateOctober 14, 2025
NPPES CertifiedOctober 13, 2025
NPI 1295601623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2024030404
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.
5503 DELMAR BLVD, Saint Louis, MO 63112

Other Providers at the Same Location NPPES

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

Pharmacy
5503 DELMAR BLVD, SUITE B
SAINT LOUIS, MO 63112

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 Karissa Dieterich's NPI number?

The NPI number for Karissa Dieterich is 1295601623. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Karissa Dieterich located?

Karissa Dieterich practices at 5503 Delmar Blvd, Saint Louis, MO 63112. The listed phone number is (314) 200-5313.

What is Karissa Dieterich'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 Karissa Dieterich was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.