THE MEDICINE SHOPPE (NPI# 1720231608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720231608 |
| Entity Type | Organization |
| Organization Name | THE MEDICINE SHOPPE |
| Practice Address |
1116 W Main St Fairfield IL 62837-2324 |
| Practice Telephone | 6188426007 |
| Practice Fax Number | 6188424816 |
| Mailing Telephone | 6188426007 |
| Mailing Fax Number | 6188424816 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |
| Authorized Official Name | ED POTTS (OWNER/PHARMACIST) |
| Authorized Official Telephone | 6188426007 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203000745 | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372771 | The Medicine Shoppe | Pharmacy | 2006 Danville Rd Sw Ste C, Decatur, AL 35601-4640 | 2020-10-02 |
| 1679618870 | The Medicine Shoppe | Pharmacist | 4730 Jackson Street Ext, Alexandria, LA 71303-2505 | 2007-02-21 |
| 1316019110 | The Medicine Shoppe | Pharmacy | 1417 E Airline Rd, Victoria, TX 77901-4111 | 2006-11-15 |
| 1427117308 | The Medicine Shoppe | Pharmacy | 510 Station St, Bridgeville, PA 15017-2052 | 2006-12-07 |
| 1629173844 | The Medicine Shoppe | Pharmacist | 181 Highway 44 E, Suite 5, Shepherdsville, KY 40165-6081 | 2006-09-13 |
| Street Address |
1116 W MAIN ST |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407485915 | Stephen Dean Potts | Pharmacist | 1116 W Main St, Fairfield, IL 62837-2324 | 2020-04-06 |
| 1700321288 | Sesser Pharmacy Si LLC | Pharmacy | 1116 W Main St, Fairfield, IL 62837-2324 | 2016-12-20 |
| 1720172133 | Edlucy Inc | Pharmacy | 1116 W Main St, Fairfield, IL 62837-2324 | 2006-10-03 |
| 1396794954 | Edwin Ray Potts | Pharmacist | 1116 W Main St, Fairfield, IL 62837-2324 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033678438 | Smart Choice Medical LLC | Durable Medical Equipment & Medical Supplies | 1305 Post Rd Ste 205, Fairfield, CT 06824-6016 | 2019-03-15 |
| 1851816482 | Aperion Care Fairfield LLC | Durable Medical Equipment & Medical Supplies | 305 Nw 11th St, Fairfield, IL 62837-1203 | 2017-08-04 |
| 1073963468 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 505 Watt Dr, Suite 3, Fairfield, CA 94534-1791 | 2016-06-15 |
| 1174924484 | Harriet Stricklen | Durable Medical Equipment & Medical Supplies | 3345 Spyglass Ct, Fairfield, CA 94534-8310 | 2014-09-07 |
| 1346687456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2590 N Texas St, Fairfield, CA 94533-1606 | 2013-05-30 |
| 1477899011 | Criticare Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 277 Fairfield Rd Ste 102d, Fairfield, NJ 07004-1931 | 2013-01-01 |
| 1508139106 | Diabetic Headquarters Inc. | Durable Medical Equipment & Medical Supplies | 8695 Seward Road, Fairfield, OH 45011-9716 | 2012-02-14 |
| 1154617215 | Senior Care Pharmacy Services Fairfield Inc | Durable Medical Equipment & Medical Supplies | 4950 Fulton Dr, Suite A and B, Fairfield, CA 94534-1615 | 2011-06-27 |
| 1497045892 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 330 Grasmere Avenue, Fairfield, CT 06824 | 2011-04-19 |
| 1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on THE MEDICINE SHOPPE.
| 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.