SCHNUCK MARKETS INC (NPI# 1811923162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811923162 |
| Entity Type | Organization |
| Organization Name | SCHNUCK MARKETS INC |
| Other Organization Name | SCHNUCKS PHARMACY |
| Practice Address |
110 Carlyle Plaza Dr Belleville IL 62221-6678 |
| Mailing Address |
11420 Lackland Rd Saint Louis MO 63146-3559 |
| Practice Telephone | 6182348097 |
| Practice Fax Number | 6182348199 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | LISA DOBBS (MGR 3RD PARTY CLAIMS) |
| Authorized Official Telephone | 3149944902 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCHNUCK MARKETS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 05412053 | MO | Suppliers |
| N | 333600000X | Pharmacy | 05412053 | IL | Suppliers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1465841 | 01 |
| Other Name | Type Code |
|---|---|
| SCHNUCKS PHARMACY | Doing Business As Name - 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 |
110 CARLYLE PLAZA DR |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-6678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494103 | Julia Ann Larue | Pharmacist | 110 Carlyle Plaza Dr, Belleville, IL 62221-6678 | 2018-07-23 |
| 1164908455 | Julie Lynn Kroenig | Pharmacist | 110 Carlyle Plaza Dr, Belleville, IL 62221-6678 | 2018-07-19 |
| 1689150294 | Dean Michael Alberts | Pharmacist | 110 Carlyle Plaza Dr, Belleville, IL 62221-6678 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| 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 |
|---|---|---|---|---|
| 1336704824 | Saicare Pharmacy Inc | Pharmacy | 246 Washington Ave Ste 102, Belleville, NJ 07109-3155 | 2019-05-09 |
| 1508327016 | Medbox Inc | Pharmacy | 14 Franklin St Ste 102, Belleville, NJ 07109-1134 | 2019-03-27 |
| 1881177897 | Belleville Hometown Pharmacy LLC | Pharmacy | 1 West Main St, Belleville, WI 53508 | 2018-09-14 |
| 1427590603 | Pharmacare Drugs 1 Inc | Pharmacy | 6048 Rawsonville Rd, Belleville, MI 48111-2339 | 2016-11-05 |
| 1720539752 | Express Medical Pharmacy LLC | Pharmacy | 1 Royal Heights Ctr, Belleville, IL 62226-5705 | 2016-10-14 |
| 1730489022 | Orchard Pharmacy Center Inc | Pharmacy | 19731 Sumpter Rd., 19731 Sumpter Rd, Belleville, MI 48111-8919 | 2010-11-02 |
| 1548441124 | Belleville Neighborhood Pharmacy | Pharmacy | 887 Sumpter Rd, Ste A, Belleville, MI 48111-4905 | 2007-11-24 |
| 1922190404 | New Jersey Cvs Pharmacy LLC | Pharmacy | 519 Washington Ave, Belleville, NJ 07109 | 2006-09-29 |
| 1629083803 | Walgreen Co | Pharmacy | 515 Carlyle Ave, Belleville, IL 62221-6223 | 2006-07-29 |
| 1255762894 | Lsc Pharmacy Services, Inc. | Pharmacy | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2013-12-09 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
Please comment or provide details below to improve the information on SCHNUCK MARKETS INC.
| 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.