Mt Vernon Community Pharmacy Inc in Mount Vernon - Community/retail Pharmacy
Mt Vernon Community Pharmacy Inc - NPI 1417923012
Mt Vernon Community Pharmacy Inc is a Community/retail Pharmacy in Mount Vernon, Illinois. Mt Vernon Community Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Mt Vernon Community Pharmacy Inc is 1417923012. The last update date is 2011-11-01.
Mt Vernon Community Pharmacy Inc's current location address is 2339 Broadway St, Mount Vernon, Illinois. You can contact this provider via phone number 6182428776. The mailing address for Mt Vernon Community Pharmacy Inc is 2339 Broadway St, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mt Vernon Community Pharmacy Inc |
|---|---|
| Address | 2339 Broadway St, Mount Vernon, Illinois |
| Phone Number | 6182428776 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Black Eric |
| Telephone Number | 6182428776 |
NPI Number Detail
| NPI Number | 1417923012 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2011-11-01 |
Provider Mailing Address Detail
| Address | 2339 Broadway St |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642925 |
| Phone Number | 6182428776 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 54016737 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 334555 | HEALTHLINK | ||
| 4132021 | BLUE CROSS BLUE SHIELD | ||
| 1447792 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mt Vernon Community Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Mt Vernon Community Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1417923012 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mt Vernon Community Pharmacy Inc?
The Mt Vernon Community Pharmacy Inc is physically situated at 2339 Broadway St, in the city of Mount Vernon, state of IL, with the postal code 628642925.
What is Mt Vernon Community Pharmacy Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mt Vernon Community Pharmacy Inc is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417923012 to Mt Vernon Community Pharmacy Inc?
The Centers for Medicare & Medicaid Services originally issued the 1417923012 to Mt Vernon Community Pharmacy Inc on 2006-02-24.
When was the information pertaining to Mt Vernon Community Pharmacy Inc most recently updated or revised?
The details related to Mt Vernon Community Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-01.
NPI Number: 1821091851
Address: 1638 Owen Dr, Fayetteville, NC
NPI Number: 1346243375
Address: 1 Robert Wood Johnson Pl, New Brunswick, NJ
NPI Number: 1629071758
Address: 1600 Prairie Center Pkwy, Brighton, CO
NPI Number: 1639172869
Address: Po Box 788, Fayetteville, NC
NPI Number: 1417950650
Address: 3333 N Webb Rd, Wichita, KS