MP SALES (NPI# 1821321480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821321480 |
| Entity Type | Organization |
| Organization Name | MP SALES |
| Other Organization Name | EXTRA GREEN HEALTHY LIVING |
| Practice Address |
303 E Carlinville St White Hall IL 62092-1207 |
| Practice Telephone | 6185350530 |
| Practice Fax Number | 2173746894 |
| Mailing Telephone | 6185350530 |
| Mailing Fax Number | 2173746894 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | MR. MATTHEW M PRICE (OWNER) |
| Authorized Official Telephone | 6185350530 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Extra Green Healthy Living | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MP SALES AND INVESTMENTS, INC. | 258 Grumman Avenue, Norwalk, CT 06851 |
| Washington State Corporations | MP SALES PROS, LLC | 93 S. Jackson St. #32160, Seattle, WA 98104 |
| Oregon Corporations, Companies and Business Names | MP SALES PROS, LLC | 1983 Linwood St Nw #349, Salem, OR 97304 |
| Street Address |
303 E CARLINVILLE ST |
| City | WHITE HALL |
| State | IL |
| Zip Code | 62092-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619302510 | Netherine Lann Valencia Agsalda | Physical Therapist | 620 W Bridgeport St., White Hall Nursing and Rehab, White Hall, IL 62092 | 2013-09-10 |
| 1023292265 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 116 N Main, White Hall, IL 62092 | 2007-12-24 |
| 1023183431 | White Hall Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2006-11-21 |
| 1043731540 | Vidit Atul Phanse | Physical Therapist | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2017-07-05 |
| 1194113514 | Brenn Killion | Specialist | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2015-01-07 |
| 1619386430 | Amy Lynn Heitzig | Physical Therapy Assistant | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2014-08-06 |
| 1518024009 | Sherdel Janssen | Registered Nurse | 505 S Main St, White Hall, IL 62092-1002 | 2007-01-03 |
| 1366535304 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 116a N Main St, White Hall, IL 62092-1054 | 2006-10-02 |
| 1003416546 | Jeremy Elliott | Nurse Practitioner | 116a N Main St, White Hall, IL 62092-1054 | 2020-10-26 |
| 1295078137 | Pharmacy Plus, Inc. | Pharmacy | 116 N Main St, White Hall, IL 62092-1054 | 2013-03-28 |
| Find all providers in zip 62092 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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 |
|---|---|---|---|---|
| 1013520113 | Pmr Illinois Holding, LLC | Non-Pharmacy Dispensing Site | 600 E Sibley Blvd, Dolton, IL 60419-2599 | 2020-08-28 |
| 1386255123 | Dermatology Associates Ltd | Non-Pharmacy Dispensing Site | 13401 S Ridgeland Ave, Palos Heights, IL 60463-1898 | 2020-08-14 |
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1902449382 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 1730 Bradford Ln, Normal, IL 61761-1297 | 2019-10-18 |
| 1073173134 | Shobhana Patodia | Non-Pharmacy Dispensing Site | 1111 Superior St Ste 206, Melrose Park, IL 60160-4156 | 2019-06-19 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1124585534 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 | 2019-02-22 |
| 1871050237 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 508 Iaa Dr, Bloomington, IL 61701-2216 | 2019-02-21 |
| 1518424969 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2901 Columbus St, Ottawa, IL 61350-1009 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HALL |
| Zip Code | 62092 |
Please comment or provide details below to improve the information on MP SALES.
| 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.