Foundation Care LLC – Pharmacy, NPI 1205831963
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Foundation Care LLC
111 CHESTERFIELD INDUSTRIAL BLVD STE 115
CHESTERFIELD, MO 630051219
Phone: (877) 291-1122
Fax: (877) 291-1155
Type: Location
4010, Wedgeway Court, Earth City, Saint Louis County, Missouri, 63045, United States
EARTH CITY, MO 63045
Phone: (877) 291-1122
Fax: (877) 291-1155
Type: Location
PO BOX 955362
SAINT LOUIS, MO 631955362
Phone: (855) 422-2742
Fax: (866) 834-8523
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
3
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090922000276 | O | Mass Immunization (Roster Biller Only) | MO | 2023-08-31 |
| O20091104000315 | O | Pharmacy | MO | 2023-08-31 |
| O20100930029414 | O | Pharmacy | MO | 2024-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63005)
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