SCHNUCK MARKETS INC (NPI# 1588127872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588127872 |
| Entity Type | Organization |
| Organization Name | SCHNUCK MARKETS INC |
| Practice Address |
1701 River Dr Ste 106 Moline IL 61265-1384 |
| Mailing Address |
11420 Lackland Rd Saint Louis MO 63146-3559 |
| Practice Telephone | 3095817146 |
| Practice Fax Number | 3095817379 |
| Mailing Telephone | 3149944902 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | LISA M DOBBS (MANAGER OF THIRD PARTY) |
| Authorized Official Telephone | 3149944902 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Schnucks Pharmacy 345 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139234 | Schnuck Markets Inc | Registered Nurse | 100 Jungermann Rd, Saint Peters, MO 63376-1608 | 2018-09-27 |
| 1447735295 | Schnuck Markets Inc | Registered Nurse | 1421 Mexico Loop Rd E, O Fallon, MO 63366-6017 | 2018-09-27 |
| 1154800241 | Schnuck Markets Inc | Registered Nurse | 11550 Page Service Dr Ste 101a, Saint Louis, MO 63146-3531 | 2018-08-09 |
| 1497266472 | Schnuck Markets Inc | Pharmacy | 19 S Kingshighway St Ste B, Cape Girardeau, MO 63703-5742 | 2017-10-18 |
| 1497920375 | Schnuck Markets Inc | Pharmacy | 11420 Lackland Rd, Saint Louis, MO 63146-3559 | 2008-04-23 |
| 1093743189 | Schnuck Markets Inc | Pharmacy | 10148 W Florissant Ave, Saint Louis, MO 63136-2104 | 2006-06-29 |
| 1093741340 | Schnuck Markets Inc | Durable Medical Equipment & Medical Supplies | 2511 State St, East Saint Louis, IL 62205-2322 | 2006-06-25 |
| 1801822150 | Schnuck Markets Inc | Durable Medical Equipment & Medical Supplies | 945 Goodman Rd E, Southaven, MS 38671-9535 | 2006-06-25 |
| 1700812054 | Schnuck Markets Inc | Pharmacy | 4127 N Grand Blvd, Saint Louis, MO 63107-1847 | 2006-06-25 |
| 1487680906 | Schnuck Markets Inc | Durable Medical Equipment & Medical Supplies | 3150 N Rockton Ave, Rockford, IL 61103-2837 | 2006-06-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SCHNUCK MARKETS INC | 11420 Lackland Road, Po Box 46928, St. Louis, MO 63146 |
| Street Address |
1701 RIVER DR STE 106 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-1384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1174664395 | Moline Drug Inc. | Pharmacy | 1610 15th Street Pl, Moline, IL 61265-3959 | 2007-02-09 |
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| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
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| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1518581784 | Biovita Pharmacy Inc. | Pharmacy | 955 W 75th St, Naperville, IL 60565-6189 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.