Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639787328 Individual Practitioner Male Practitioner

Dr. Justin Clarke Liedke , PharmD

Pharmacist • Troy, MO

Professional Overview & Biography Verified Profile Summary

Dr. Justin Liedke, PharmD is a registered healthcare professional specializing in Pharmacist in Troy, MO. Practice services are available at 100 JASON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Jason Dr

Troy, MO 633791944

Telephone 6364625901
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1760673248

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Troy, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Troy, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2020018825

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1215892526

Registered Pharmacist

NPI 1306583059

Doctor of Pharmacy (Pharm.D.)

NPI 1326321571
Amanda Drain

Pharmacist

NPI 1336422831
NPI 1467830794

Doctor of Pharmacy (Pharm.D.)

NPI 1851903660

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location February 14, 2022

Registered at 100 JASON DR, TROY, MO 633791944 (Tel: 6364625901)

NPI Profile Active July 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2020

Registered at 915 N GRAND BLVD, SAINT LOUIS, MO 631061621 (Tel: 3146524100)

📍
Updated Business Mailing Address July 19, 2020

Registered at 1172 WARM WINDS DR, O FALLON, MO 633666305 (Tel: 6366974904)

👤
Provider Name / Credentials Updated July 19, 2020

Recorded as JUSTIN LIEDKE, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2020

Pharmacist (License #2020018825 in MO)

🟢
Initial NPI Registration & Enumeration July 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Justin Liedke. Be the first to share your experience!

Sign in to leave a review for Dr. Justin Liedke

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1639787328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2020
Last Update: June 15, 2022
Sole Proprietor: No

Mailing Address

1172 Warm Winds Dr

O Fallon, MO 633666305

Phone: 6366974904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.