Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

O'Fallon Pharmacy, LLC

Organization Pharmacy · NPI 1285243972

O'Fallon Pharmacy, LLC is a Pharmacy in O Fallon, Missouri. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

108 Triad Ctr W
O Fallon, MO 63366-7541
Phone: (833) 347-4217
Fax: (877) 646-0735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X

Record details

NPI number1285243972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sierra Degomez — Managing Member · (833) 347-4217
Other names Cardinal Pharmacy; Cardinal Pharmacy
NPI enumeratedJuly 28, 2020
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020
Mailing address108 Triad Ctr W, O Fallon, MO 63366-7541

Other providers in O Fallon