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MYRTLE HILLIARD DAVIS COMPREHENSIVE
NPI 1972653202
Pharmacy - Clinic Pharmacy in Saint Louis, MO

Active since January 11, 2007
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112(314) 367-5820(314) 454-3979 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2022, Sep 14, 2020, Feb 6, 2020 and 1 more (4 updates tracked since 2019).

About Myrtle Hilliard Davis Comprehensive NPPES

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

MYRTLE HILLIARD DAVIS COMPREHENSIVE (NPI 1972653202) is a healthcare organization registered as a clinic pharmacy in Saint Louis, Missouri and active in the NPI registry since January 2007. The organization lists Angela Renee Clabon, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1972653202
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameCARESTL HEALTH #1
Location Address5471 DR MARTIN LUTHER KING DRSaint Louis, MO 63112-4265
Mailing Address5471 Dr Martin Luther King DrSaint Louis, MO 63112-4265 · (314) 367-5820 · Fax (314) 367-6326
Phone(314) 367-5820
Fax(314) 454-3979
Organization SubpartNo
Authorized OfficialAngela Renee ClabonChief Executive Officer · (314) 367-5820
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMarch 31, 20224 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1972653202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in MO · 002938
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
5471 DR MARTIN LUTHER KING DR, Saint Louis, MO 63112
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Other Names 1

Doing Business AsMyrtle Hilliard Davis Comprehensive

Other Identifiers 2

Other2050332Pk
Medicaid600622914MO

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 Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MS. CARLA DAUGHERTY DDS
Dentist
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. JETUAN L ROWLEY-HERRON M.D.
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. ANDREA LASHELLE BRUCE LPN
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. TERESITA AGUSTIN COMETA MD
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
DR. LAILA G. GABRAWY M.D.
Ophthalmology
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
RODELYNN RICHEE LPN
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. PAMELA LATONIA MARSHALL RPH
Pharmacist
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. MARGARET CHINYERE NWAOBASI RN MSN
Registered Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820

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 Carestl Health #1's NPI number?

The NPI number for Carestl Health #1 is 1972653202. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is doing business as Myrtle Hilliard Davis Comprehensive.

Where is Carestl Health #1 located?

Carestl Health #1 is located at 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112. The listed phone number is (314) 367-5820.

What is Carestl Health #1's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Carestl Health #1 accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Carestl Health #1 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 Carestl Health #1 was last updated on March 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.