DR. SAN BABAN PHARM D
NPI 1770194391
Pharmacist in Black Jack, MO

Active since August 17, 2020
12400 OLD HALLS FERRY RD, BLACK JACK, MO 63033(314) 741-8688 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. San Baban Pharm D NPPES

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

DR. SAN BABAN PHARM D (NPI 1770194391) is an individual pharmacist in Black Jack, Missouri, licensed in Missouri (2017031679) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1770194391
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. SAN BABANCredential: PHARM D
Location Address12400 OLD HALLS FERRY RDBlack Jack, MO 63033-4202
Mailing Address12400 Old Halls Ferry RdBlack Jack, MO 63033-4202
Sole ProprietorNo
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
NPI 1770194391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2017031679
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.

12400 OLD HALLS FERRY RD, Black Jack, MO 63033

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.

Pharmacist
12400 OLD HALLS FERRY RD
FLORISSANT, MO 63033
Pharmacist
12400 OLD HALLS FERRY RD
FLORISSANT, MO 63033
Pharmacist
12400 OLD HALLS FERRY RD
BLACK JACK, MO 63033
Pharmacy
12400 OLD HALLS FERRY RD
BLACK JACK, MO 63033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770194391, enumerated as an "individual" on August 17, 2020.

The provider is located at 12400 OLD HALLS FERRY RD BLACK JACK, MO 63033 and the phone number is (314) 741-8688.

Pharmacist with taxonomy code 183500000X.