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NETWORK HEALTHCARE MISSOURI
NPI 1679594626
Pharmacy - Long Term Care Pharmacy in Fenton, MO

Active since July 22, 2006
1329 HORAN DR, FENTON, MO 63026(636) 779-2700(636) 779-2704 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2020, Jan 13, 2017 (2 updates tracked since 2017).

About Network Healthcare Missouri NPPES

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

NETWORK HEALTHCARE MISSOURI (NPI 1679594626) is a healthcare organization registered as a long term care pharmacy in Fenton, Missouri and active in the NPI registry since July 2006. The organization lists Terry Leeman, President, as its authorized official.

NPPES Registry Identity

NPI1679594626
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameNUTRITIONAL SUPPORT SERVICES
Location Address1329 HORAN DRFenton, MO 63026-1939
Mailing AddressPo Box 32249Knoxville, TN 37930-2249
Phone(636) 779-2700
Fax(636) 779-2704
Organization SubpartNo
Authorized OfficialTerry LeemanPresident · (615) 890-2020
Enumeration DateJuly 22, 2006
Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration
✔ NPI 1679594626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in MO · 2004034239
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X
1329 HORAN DR, Fenton, MO 63026
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Other Names 1

Doing Business AsNetwork Healthcare Missouri

Other Identifiers 2

Medicaid606172203MO
Other2049057Pk

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Network Healthcare Missouri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20210903002123Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 4

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

DR. ASHLEY L COPES PHARMD
Pharmacist
1329 HORAN DR
FENTON, MO 63026
St. Louis County (636) 779-2700
TRACIE MARIE JACKSON RPH
Pharmacist
1329 HORAN DR
FENTON, MO 63026
St. Louis County (636) 779-2700
JULIE TOLIUSIS PHARMD
Pharmacist
1329 HORAN DR
FENTON, MO 63026
St. Louis County (636) 779-2700
DR. SARAH SUE GALLE PHARM.D.
Pharmacist
1329 HORAN DR
FENTON, MO 63026
St. Louis County (636) 779-2700

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 Nutritional Support Services's NPI number?

The NPI number for Nutritional Support Services is 1679594626. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Network Healthcare Missouri.

Where is Nutritional Support Services located?

Nutritional Support Services is located at 1329 Horan Dr, Fenton, MO 63026. The listed phone number is (636) 779-2700.

What is Nutritional Support Services's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Is Nutritional Support Services enrolled in Medicare?

Yes. Nutritional Support Services is registered in the Medicare PECOS enrollment system.

When is Nutritional Support Services's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Nutritional Support Services accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 36 other insurers list Nutritional Support Services 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 Nutritional Support Services was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.