MEDICATE PHARMACY INC (NPI# 1841245404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841245404 |
| Entity Type | Organization |
| Organization Name | MEDICATE PHARMACY INC |
| Practice Address |
1833 Kingshighway Washington Park IL 62204-2135 |
| Practice Telephone | 6188743000 |
| Practice Fax Number | 6188743103 |
| Mailing Telephone | 6188743000 |
| Mailing Fax Number | 6188743103 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | MR. MICHAEL LEE SCHALTENBRAND (PRESIDENT) |
| Authorized Official Telephone | 6188743000 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054014315 | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871086082 | Medicate Pharmacy Inc | Pharmacy | 5869 Bond Ave, Centreville, IL 62207-2300 | 2018-06-12 |
| 1558777938 | Medicate Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2741 W Layton Ave Ste 102, Milwaukee, WI 53221-2600 | 2014-07-07 |
| 1407244502 | Medicate Pharmacy Inc | Pharmacy | 2166 Madison Ave, Granite City, IL 62040-4700 | 2014-12-26 |
| Street Address |
1833 KINGSHIGHWAY |
| City | WASHINGTON PARK |
| State | IL |
| Zip Code | 62204-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972542793 | Michael Lee Schaltenbrand | Pharmacist | 1833 Kingshighway, Suite 100, Washington Park, IL 62204-2135 | 2006-06-06 |
| 1346295367 | Terry Michael Maddox | Pharmacist | 1833 Kingshighway, Suite 200, Washington Park, IL 62204-2135 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225124167 | Linda Wallace | Specialist | 1835 Kinghighway, Washington Park, IL 62204 | 2006-10-05 |
| 1205813714 | Syed K Hussain | Internal Medicine | 1835 Kingshighway, Washington Park, IL 62204 | 2005-12-27 |
| 1417477415 | Amanda Elizabeth Lappe | Occupational Therapist | 10000 W. 75th St., Ste. 250, Merrium, KS 62204 | 2017-06-21 |
| 1639402738 | Jeffery Scott Davis | Nurse Practitioner | 1835 Kingshighway, Washington Park, IL 62204 | 2009-09-08 |
| 1740345156 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 1736 Kingshighway, East Saint Louis, IL 62204 | 2006-12-26 |
| 1588778831 | Scott Christopher Schultz | Dentist | 1835 Kingshighway, Washington Park, IL 62204 | 2006-08-17 |
| 1326309774 | Kischa Moton | Occupational Therapy Assistant | 3019 Lincoln Ave, East Saint Louis, IL 62204-1110 | 2012-06-01 |
| 1649212267 | Cramar Pharmacy Inc | Pharmacy | 6104 Forest Blvd, East Saint Louis, IL 62204-1660 | 2006-06-11 |
| 1700155595 | House of Prayer Christian Academy | Counselor | 5501 N Park Dr, East Saint Louis, IL 62204-2121 | 2011-12-22 |
| 1366711939 | Tina Yvonne Pettiford | Counselor | 5501 N Park Dr, East Saint Louis, IL 62204-2121 | 2011-12-27 |
| Find all providers in zip 62204 | ||||
| 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 |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 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 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON PARK |
| Zip Code | 62204 |
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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.