Provider Demographics
NPI:1790796209
Name:UNITY HEALTH MEDSCRIPT INC
Entity Type:Organization
Organization Name:UNITY HEALTH MEDSCRIPT INC
Other - Org Name:MEDSCRIPT SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR OF PHCY OPS
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-506-6069
Mailing Address - Street 1:PO BOX 504207
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13185 LAKEFRONT DR
Practice Address - Street 2:STE 100
Practice Address - City:EARTH CITY
Practice Address - State:MO
Practice Address - Zip Code:63045-1510
Practice Address - Country:US
Practice Address - Phone:314-506-6066
Practice Address - Fax:314-506-6067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000175014333600000X
3336L0003X, 3336M0002X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Not Answered3336M0002XSuppliersPharmacyMail Order Pharmacy
Not Answered3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2604230OtherOTHER ID NUMBER-COMMERCIAL NUMBER
66031001Medicare ID - Type Unspecified