Healthcare Provider Details

I. General information

NPI: 1487563508
Provider Name (Legal Business Name): BENJAMIN NICHOLAS PIROGOVSKY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WARREN COUNTY CTR
WARRENTON MO
63383-3023
US

IV. Provider business mailing address

726 N WOODS MILL RD
CHESTERFIELD MO
63017-3217
US

V. Phone/Fax

Practice location:
  • Phone: 636-456-4243
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2026041668
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: