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DIERBERGS SOUTHROADS PHARMACY
NPI 1992894661
Pharmacy in Saint Louis, MO

Active since October 12, 2006
12420 TESSON FERRY RD, SAINT LOUIS, MO 63128(314) 849-3880(636) 530-3001 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dierbergs Southroads Pharmacy NPPES

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

DIERBERGS SOUTHROADS PHARMACY (NPI 1992894661) is a healthcare organization registered as a pharmacy in Saint Louis, Missouri and active in the NPI registry since October 2006. The organization lists Gregory Guenther, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1992894661
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameDIERBERGS MARKETS INC
Location Address12420 TESSON FERRY RDSaint Louis, MO 63128-2702
Mailing AddressPo Box 1070Chesterfield, MO 63006-1070 · (636) 812-1470 · Fax (636) 812-1603
Phone(314) 849-3880
Fax(636) 530-3001
Organization SubpartNo
Authorized OfficialGregory GuentherDirector Of Pharmacy · (636) 812-1470
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 4, 2014
✔ NPI 1992894661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MO · 005302
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
12420 TESSON FERRY RD, Saint Louis, MO 63128
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Other Names 1

Doing Business AsDierbergs Southroads Pharmacy

Other Identifiers 4

Medicare NSC0580710006MO
Medicare ID-Type Unspecified0580710006
Medicaid603681404MO
Other2627531Other Id Number-commercial Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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.

PILAR ROM RPH
Pharmacist
12420 TESSON FERRY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 849-3880
MERCY PHARMACY SERVICES LLC
Pharmacy (Community/Retail Pharmacy)
12420 TESSON FERRY RD
SAPPINGTON, MO 63128
St. Louis County (314) 849-3880
JON ANDREW ROUSSIN
Pharmacist
12420 TESSON FERRY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 849-3880
ADAM T RINEY PHARMD
Pharmacist
12420 TESSON FERRY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 849-3880

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 Markets Inc's NPI number?

The NPI number for Dierbergs Markets Inc is 1992894661. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Dierbergs Southroads Pharmacy.

Where is Dierbergs Markets Inc located?

Dierbergs Markets Inc is located at 12420 Tesson Ferry Rd, Saint Louis, MO 63128. The listed phone number is (314) 849-3880.

What is Dierbergs Markets Inc's specialty?

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

What insurance does Dierbergs Markets Inc accept?

Health plans from Medica and Moda Health Plan, Inc. list Dierbergs Markets Inc 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 Dierbergs Markets Inc was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.