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

Pevely Rx

Organization Community/Retail Pharmacy · NPI 1790034064

Pevely Rx is a Community/Retail Pharmacy in Pevely, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
Specialties on file
3

Practice location Address checks out

8640 Commercial Blvd
Pevely, MO 63070-1529
Phone: (636) 479-6100
Fax: (636) 479-6101
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2012030942 (MO)
Compounding Pharmacy Taxonomy 3336C0004X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1790034064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Wang — President · (314) 753-8851
Other names The Medicine Shoppe Pharmacy; The Medicine Shoppe Pharmacy
NPI enumeratedSeptember 2, 2012
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address8640 Commercial Blvd, Pevely, MO 63070-1529