ST LUKES PHARMACY WINGHAVEN
NPI 1619968096
Pharmacy - Community/Retail Pharmacy in O Fallon, MO

NPI Status: Active since November 03, 2005

Contact Information

5551 WINGHAVEN BLVD
STE 120
O FALLON, MO
ZIP 63368
Phone: (636) 695-2555
Fax: (636) 695-2556

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • CLIA Number: 26D0441414
  • CLIA Cert. Type: Other - URGENT CARE CENTER LAB
  • CLIA Exp. Date: 05-18-2027

About ST LUKES PHARMACY WINGHAVEN

This page provides the complete NPI Profile along with additional information for St Lukes Pharmacy Winghaven, a provider established in O Fallon, Missouri operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1619968096 assigned on November 2005. The practitioner's primary taxonomy code is 3336C0003X with license number 2008006746 (MO). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as St Lukes Pharmacy Winghaven. The authorized official of this NPI record is Richard Fook (Dir Of Phcy Serv)

NPI
1619968096
Provider Legal Name
ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL
Other Organization Name
ST LUKES PHARMACY WINGHAVEN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5551 WINGHAVEN BLVD STE 120 O FALLON, MO 63368
Location Phone
(636) 695-2555
Location Fax
(636) 695-2556
Mailing Address
5551 WINGHAVEN BLVD STE 120 O FALLON, MO 63368
Mailing Phone
(636) 695-2555
Mailing Fax
(636) 695-2556
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2005
Last Update Date
10-12-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
2008006746
License State
MO
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD FOOK

Authorized Official Title
DIR OF PHCY SERV
Authorized Official Phone
(314) 205-6291

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
600567515MEDICAID (05)MO 
2050270OTHER (01)PK

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0441414
Facility Type
Other - URGENT CARE CENTER LAB
Certificate Effective Date
May 19, 2025
Certificate Expiration Date
May 18, 2027
Laboratory Director
DR. JEFFREY R. MELNICK
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St Lukes Pharmacy Winghaven on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619968096, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 8 + 6 + 1 + 6 + 0 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1619968096.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Pediatrics
5551 WINGHAVEN BLVD, SUITE 240
O FALLON, MO 63368
Pediatrics
5551 WINGHAVEN BLVD, SUITE 240
O'FALLON, MO 63368
Internal Medicine (Cardiovascular Disease)
5551 WINGHAVEN BLVD, SUITE 132
O FALLON, MO 63368
Pediatrics
5551 WINGHAVEN BLVD, SUITE 240
O FALLON, MO 63368
Counselor (Professional)
5551 WINGHAVEN BLVD, SUITE 250
O FALLON, MO 63368
Pediatrics
5551 WINGHAVEN BLVD
O FALLON, MO 63368
Obstetrics & Gynecology
5551 WINGHAVEN BLVD, SUITE 260
O FALLON, MO 63368
Nurse Practitioner (Adult Health)
5551 WINGHAVEN BLVD, STE 290
O FALLON, MO 63368
Internal Medicine
5551 WINGHAVEN BLVD, STE 290
O FALLON, MO 63368
Nurse Practitioner (Pediatrics)
5551 WINGHAVEN BLVD, SUITE 240
O FALLON, MO 63368
Podiatrist
5551 WINGHAVEN BLVD, STE 280
O FALLON, MO 63368
Family Medicine
5551 WINGHAVEN BLVD, SUITE 142
O FALLON, MO 63368
Dermatology
5551 WINGHAVEN BLVD, SUITE 210
O FALLON, MO 63368
Internal Medicine
5551 WINGHAVEN BLVD, SUITE 132
O FALLON, MO 63368
Specialist
5551 WINGHAVEN BLVD, STE 210
O FALLON, MO 63368
Counselor (Professional)
5551 WINGHAVEN BLVD, SUITE 250
O FALLON, MO 63368
Internal Medicine
5551 WINGHAVEN BLVD, SUITE 260
O FALLON, MO 63368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619968096, enumerated as an "organization" on November 03, 2005.

The provider is located at 5551 WINGHAVEN BLVD STE 120 O FALLON, MO 63368 and the phone number is (636) 695-2555.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.