Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Alyssa Kim

Pharmacist β€’ Saint Charles, MO

Active NPI 1134819436 Individual Practitioner Female Practitioner
Practice location in NPPES

711 Veterans Memorial Pkwy Ste 102
Saint Charles, MO 633032106

Call 6366692200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

711 Veterans Memorial Pkwy Ste 102

Saint Charles, MO 633032106

Telephone 6366692200

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Saint Charles and Missouri

75 active clinicians are listed under Pharmacist with a practice address in Saint Charles, MO (5,345 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Charles

0% of these 75 clinicians have the CMS telehealth indicator.

0% of these 75 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MO 2021051189

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address January 28, 2026

Registered at 1685 DANTE DR, SAINT LOUIS, MO 631463801

πŸ‘€
Provider Name / Credentials Updated January 28, 2026

Recorded as ALYSSA KIM

πŸ“
Updated Practice Location July 15, 2023

Registered at 711 VETERANS MEMORIAL PKWY STE 102, SAINT CHARLES, MO 633032106 (Tel: 6366692200)

βœ…
NPI Profile Active May 10, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 10, 2023

Registered at 12266 DE PAUL DR STE 105, BRIDGETON, MO 630442541 (Tel: 3143447300)

πŸ“
Business Mailing Address (Initial Record) May 10, 2023

Registered at 4400 SOUTHVIEW WAY DR, SAINT LOUIS, MO 631296718

πŸ‘€
Provider Name / Credentials (Initial Record) May 10, 2023

Recorded as ALYSSA GRAYCOCHEA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Pharmacist (license number reported to NPPES: MO 2021051189)

🟒
Initial NPI Registration & Enumeration May 10, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1134819436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2023
Last Update: January 28, 2026
Sole Proprietor: Yes

Other Pharmacists in Saint Charles

All Pharmacists in Saint Charles

Mailing Address

1685 Dante Dr

Saint Louis, MO 631463801

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.