MEDICARE: ESI MAIL PHARMACY SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336M0002X	Mail Order Pharmacy	2000148285	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2623735	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1558443911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESI MAIL PHARMACY SERVICE INC

Provider Business Mailing Address
First Line	:	4600 NORTH HANLEY ROAD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63134-2715
Country	:	US
Telephone Number	:	800-451-6245
Fax Number	:	800-521-5779

Provider Business Practice Location Address
First Line	:	4600 NORTH HANLEY ROAD
Second Line	:
City	:	ST. LOUIS
State	:	MO
Zip	:	63134-2715
Country	:	US
Telephone Number	:	800-451-6245
Fax Number	:	800-521-5779

Authorized Official
Title or Position	:	ASST SECRETARY
Name	:	SUSAN PEPPERS
Credential	:
Telephone Number	:	513-858-4916

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	12/05/2025

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Directions to “ESI MAIL PHARMACY SERVICE INC ” Practice Location

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