NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pevely Rx

Community/Retail Pharmacy in Pevely, MO · enumerated 2012 · authorized official Jason Wang, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790034064

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Pevely Rx
Other name <Unavail>
Practice address 8640 Commercial Blvd, Pevely, MO, 63070
Phone (636) 479-6100
Fax (636) 479-6101
Enumeration date Sep 2, 2012
Last updated in NPPES Jun 10, 2024

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 2012030942 (MO) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Jason Wang
Title President
Phone (314) 753-8851

Other identifiers

Identifier Type State Issuer
2136810 Other - PK
606585404 Medicaid MO -

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pevely Rx?
Pevely Rx is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-10.