NPPES file of Aug 9, 2026

Clark Kebodeaux, PHARM.D.

Pharmacist · Saint Louis, MO

Clark Kebodeaux, PHARM.D. is a pharmacist with a practice address in Saint Louis, Missouri, and NPI 1669785697, issued on Jul 19, 2010. Check the license (Missouri 2011021859, as entered in NPPES) with the Missouri board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1669785697
Name
Clark Kebodeaux
Credential
PHARM.D.
Primary taxonomy
Pharmacist 183500000X
License numbers
2011021859 MO
015036 KY
Self-reported in NPPES; status is on the state search
Practice location
4218 Lindell Blvd, Saint Louis, MO 63108
Phone
(314) 534-3829
Enumerated
Jul 19, 2010
Record last updated
Aug 10, 2011 (not updated in 15 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 4218 Lindell Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kevin Breeze, RPHPharmacist1467116228
  2. Karen ChiuPharmacist1124630876
  3. Elizabeth Cooley, PHARMDPharmacist1588948384
  4. Theresa DeterdingPharmacist1134731219
  5. Johnathan DotyPharmacist1497472922
  6. Tre'Von Elam, PHARM. D.Pharmacist1568712255

Verify Clark Kebodeaux in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 2011021859
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Clark Kebodeaux among 5,343 pharmacist records in Missouri

Clark Kebodeaux, PHARM.D. is one of 5,343 pharmacist records with a practice address in Missouri. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2010, is newer than 12% of them.

  • NPI issued2010 · 12% of these records are older, 86% newer
  • In a Medicare fileNo · 11% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2011 · 70% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 183500000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

996 pharmacist records list a practice address in Saint Louis

They are 996 of the 27,605 NPPES records with a practice address in Saint Louis, and 5,343 pharmacist records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 pharmacist records with the nearest ZIP codes

  1. Katie Akins, RPHSaint Louis, MO 631081790069326
  2. Anthony Berra, R.PH.Saint Louis, MO 631081740239631
  3. Laura Challen, PHARM.D., BCPS, MBASt Louis, MO 631081114023801
  4. Elizabeth Cooley, PHARMDSaint Louis, MO 631081588948384
  5. Efthemia Davelis, PHARMDSaint Louis, MO 631081861746026
  6. Tre'Von Elam, PHARM. D.Saint Louis, MO 631081568712255
  7. Steven Fuchs, PHARM.D.Saint Louis, MO 631081023306768
  8. Jeffrey Kuruvilla, PHARM.D.Saint Louis, MO 631081245517010

Common questions

What is Clark Kebodeaux, PHARM.D.'s NPI number?

Clark Kebodeaux, PHARM.D.'s National Provider Identifier (NPI) is 1669785697, issued on Jul 19, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Clark Kebodeaux, PHARM.D. located?

The NPPES record lists a practice address at 4218 Lindell Blvd, Saint Louis, MO, 63108. Phone: (314) 534-3829. Providers update this record themselves, so call before visiting.

How can I verify Clark Kebodeaux, PHARM.D.'s license?

NPPES lists Missouri license number 2011021859, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.