Healthcare Provider Details

I. General information

NPI: 1790696441
Provider Name (Legal Business Name): ALYSSA MARIE MCPIKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 CATLIN DR
BARNHART MO
63012-1277
US

IV. Provider business mailing address

1962 BIRCHWOOD DR
BARNHART MO
63012-2617
US

V. Phone/Fax

Practice location:
  • Phone: 636-461-1347
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2026028806
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: