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DIERBERGS TOWN CENTER PHARMACY
NPI 1710359484
Pharmacy in Wildwood, MO

Active since October 21, 2015
2460 TAYLOR ROAD, WILDWOOD, MO 63040(636) 458-7450 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dierbergs Town Center Pharmacy NPPES

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

DIERBERGS TOWN CENTER PHARMACY (NPI 1710359484) is a healthcare organization registered as a pharmacy in Wildwood, Missouri and active in the NPI registry since October 2015. The organization lists Brenda Mcdaniel, Staff Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1710359484
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameDIERBERGS TOWN CENTER PHARMACY
Location Address2460 TAYLOR ROADWildwood, MO 63040
Mailing Address2460 Taylor RoadWildwood, MO 63040 · (636) 458-7450
Phone(636) 458-7450
Organization SubpartNo
Authorized OfficialBrenda McdanielStaff Pharmacist · (636) 458-7450
Enumeration DateOctober 21, 2015
✔ NPI 1710359484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MO · 2003031656
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
2460 TAYLOR ROAD, Wildwood, MO 63040
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Other Identifiers 1

Medicaid606120103MO

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 Dierbergs Town Center Pharmacy's NPI number?

The NPI number for Dierbergs Town Center Pharmacy is 1710359484. It was assigned to this organization in the NPPES registry on October 21, 2015.

Where is Dierbergs Town Center Pharmacy located?

Dierbergs Town Center Pharmacy is located at 2460 Taylor Road, Wildwood, MO 63040. The listed phone number is (636) 458-7450.

What is Dierbergs Town Center Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Dierbergs Town Center Pharmacy was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.