Fitzpatrick Pharmacy Inc
Fitzpatrick Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Ballwin, MO, holding Type 2 (organization) NPI 1154425114 since 2006. The authorized official on file is Mark Rathgeber, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154425114 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fitzpatrick Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 15394 MANCHESTER RD, Ballwin, MO, 63011 |
| Phone | 6363946622 |
| Fax | 6363949222 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2017-01-17 |
Authorized official
| Name | Mark Rathgeber |
|---|---|
| Title | Owner |
| Phone | 6363946622 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PS006166 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2049588 | Other | — | PK |
| 600397301 | Medicaid | MO | — |
| 620397307 | Medicaid | MO | — |
Copy-ready billing details
Provider: Fitzpatrick Pharmacy Inc NPI: 1154425114 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 15394 MANCHESTER RD, Ballwin, MO, 63011
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821110461 | Omobola Taiwo | Individual | Pharmacist | Ellisville, MO |
Verify this record
Cross-check NPI 1154425114 against the authoritative CMS record: view Fitzpatrick Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Fitzpatrick Pharmacy Inc?
Who is the authorized official for Fitzpatrick Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-01-17.