Provider Demographics
NPI:1528684347
Name:BERNDT, ALEXIS (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:BERNDT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:EVELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:52 BUCKS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63304-8541
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:106 FOUR SEASONS SHOPPING CTR STE B
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3157
Practice Address - Country:US
Practice Address - Phone:314-469-7171
Practice Address - Fax:314-469-1010
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018021538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist