Provider Demographics
NPI:1487857090
Name:DNG PHARMACEUTICALS
Entity Type:Organization
Organization Name:DNG PHARMACEUTICALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:NORTHON
Authorized Official - Last Name:GOLDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-772-1444
Mailing Address - Street 1:2331 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-2908
Mailing Address - Country:US
Mailing Address - Phone:314-772-1444
Mailing Address - Fax:314-772-0600
Practice Address - Street 1:2331 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-2908
Practice Address - Country:US
Practice Address - Phone:314-772-1444
Practice Address - Fax:314-772-0600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL MEDICAL INFORMATION SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-10
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO3336C0002X
MO20070331653336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA10079Medicare UPIN