Healthcare Provider Details

I. General information

NPI: 1285507012
Provider Name (Legal Business Name): KATIE SIMPSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7233 WATSON RD
SAINT LOUIS MO
63119-4401
US

IV. Provider business mailing address

7233 WATSON RD
SAINT LOUIS MO
63119-4401
US

V. Phone/Fax

Practice location:
  • Phone: 314-752-7881
  • Fax: 636-530-3013
Mailing address:
  • Phone: 314-752-7881
  • Fax: 636-530-3013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2019039621
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.302851
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: