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JUSTIN CLARKE LIEDKE PHARM.D.
NPI 1639787328
Pharmacist in Troy, MO

Active since July 19, 2020

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2022, Jul 19, 2020 (2 updates tracked since 2020).

About Justin Clarke Liedke Pharm.d. NPPES

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

JUSTIN CLARKE LIEDKE PHARM.D. (NPI 1639787328) is an individual pharmacist in Troy, Missouri, licensed in Missouri (2020018825) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1639787328
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJUSTIN CLARKE LIEDKECredential: PHARM.D.
Location Address100 JASON DRTroy, MO 63379-1944
Mailing Address1172 Warm Winds DrO Fallon, MO 63366-6305 · (636) 697-4904
Phone(636) 462-5901
Sole ProprietorNo
Enumeration DateJuly 19, 2020
Last NPPES UpdateJune 15, 20222 updates tracked since enumeration
NPPES CertifiedJune 15, 2022
✔ NPI 1639787328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MO · 2020018825
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.
100 JASON DR, Troy, MO 63379
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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.

CARA LYNEE WALLACE RPH
Pharmacist
100 JASON DR
TROY, MO 63379
Lincoln County (636) 462-5901
KRISTA RENEE SCHNEIDER PHARMD
Pharmacist
100 JASON DR
TROY, MO 63379
Lincoln County (636) 462-5901
AMANDA URBANIAK
Pharmacist
100 JASON DR
TROY, MO 63379
Lincoln County (636) 462-5901
AMANDA L DRAIN
Pharmacist
100 JASON DR
TROY, MO 63379
Lincoln County (636) 462-5901
STEPHANIE RACHAS PHARMD
Pharmacist
100 JASON DR
TROY, MO 63379
Lincoln County (636) 462-5901
WALGREEN CO
Pharmacy
100 JASON DR
TROY, MO 63379
Lincoln County (314) 739-4503
DR. AMANDA HUNT PHARMD
Pharmacist
100 JASON DR
TROY, MO 63379
Lincoln County (636) 462-5901

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 Justin Liedke's NPI number?

The NPI number for Justin Liedke is 1639787328. It was assigned to this individual provider in the NPPES registry on July 19, 2020.

Where is Justin Liedke located?

Justin Liedke practices at 100 Jason Dr, Troy, MO 63379. The listed phone number is (636) 462-5901.

What is Justin Liedke'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 Justin Liedke was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.