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

Jon Andrew Roussin

Individual provider Pharmacist · NPI 1730527508

Jon Andrew Roussin is a Pharmacist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013

Practice location Address checks out

12420 Tesson Ferry Rd
Saint Louis, MO 63128-2702
Phone: (314) 849-3880
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 041518 (MO)

Record details

NPI number1730527508
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 13, 2013
Last updated in NPPESJune 13, 2013

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