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

Micah Burgdorf

Individual provider Pharmacist · NPI 1821694621

Micah Burgdorf is a Pharmacist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020

Practice location Address checks out

3920 Hampton Ave
Saint Louis, MO 63109-1401
Phone: (314) 351-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2020038387 (MO)

Record details

NPI number1821694621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address3920 Hampton Ave, Saint Louis, MO 63109-1401

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