=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699633404
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BOEHRINGER DIRECT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2026
-----------------------------------------------------
Last Update Date | 01/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17877 CHESTERFIELD AIRPORT RD STE 200
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63005-1211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-518-7563
-----------------------------------------------------
Fax | 888-918-8379
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17877 CHESTERFIELD AIRPORT RD STE 200
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63005-1211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-518-7563
-----------------------------------------------------
Fax | 888-918-8379
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SR DIR, PHARMACY COMPLIANCE & REG
-----------------------------------------------------
Name | MR. BRADLEY SCHAMMEL
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 314-609-5376
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------