MEDICINE EXPRESS, LLC (NPI# 1932276748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932276748 |
| Entity Type | Organization |
| Organization Name | MEDICINE EXPRESS, LLC |
| Other Organization Name | MEDICINE EXPRESS |
| Practice Address |
5003 N Illinois St Fairview Heights IL 62208-3419 |
| Practice Telephone | 6185154035 |
| Practice Fax Number | 6184167172 |
| Mailing Telephone | 6185154035 |
| Mailing Fax Number | 6184167172 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | MRS. EMILY K POWERS (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 6185154035 |
| Authorized Official Credential | DOCTOR OF PHARMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FM8300648 | 01 | |
| IL | NCPDP | 1477517 | 01 |
| Other Name | Type Code |
|---|---|
| Medicine Express | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MEDICINE EXPRESS, LLC | 300 Hunter Ave. Ste 200, Saint Louis, MO 63124 |
| Street Address |
5003 N ILLINOIS ST |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639579071 | Amanda Kurtz | Chiropractor | 5003 N Illinois St, Suite 2, Fairview Heights, IL 62208-3419 | 2014-09-03 |
| 1588085179 | Healthline In-home Care of Il, LLC | In Home Supportive Care | 5003 N Illinois St, Suite 1, Fairview Heights, IL 62208-3419 | 2013-12-26 |
| 1952732059 | Emily K Powers | Pharmacist | 5003 N Illinois St, Fairview Heights, IL 62208 | 2013-11-29 |
| 1902103310 | Michael Scott Lister | Chiropractor | 5003 N Illinois St, Ste 2, Fairview Heights, IL 62208-3419 | 2011-02-21 |
| 1679888960 | Melinda Raye Turner | Chiropractor | 5003 N Illinois St, Ste 2, Fairview Heights, IL 62208-3419 | 2010-08-11 |
| 1164758660 | Advanced In Home Respiratory 24, LLC | Durable Medical Equipment & Medical Supplies | 5003 N Illinois St, Suite 1, Fairview Heights, IL 62208-3419 | 2009-10-19 |
| 1942323191 | Kathleen Marie Roche | Chiropractor | 5003 N Illinois St, Suite 2, Fairview Heights, IL 62208-3419 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1962659383 | United Scripts, Ltc, LLC | Pharmacy | 13 Executive Dr, Suite 14/15, Fairview Heights, IL 62208-1342 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512989 | Millenium Pharmacy Ltd | Pharmacy | 10604 Southwest Hwy Ste 102, Chicago Ridge, IL 60415-2704 | 2020-09-15 |
| 1992265235 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S 1st Street, Alpha, IL 61413 | 2019-03-22 |
| 1750841342 | Illini Clinic Pharmacy Inc | Pharmacy | 855 Illini Dr Ste 200, Silvis, IL 61282-2904 | 2019-03-21 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1538672449 | Wear Ltc | Pharmacy | 527 N Madison St Ste B, Carthage, IL 62321-1034 | 2017-11-14 |
| 1124546031 | Symbria Rx Services, LLC. | Pharmacy | 3200 Grant St Rm 41, Evanston, IL 60201-1903 | 2017-08-31 |
| 1699146720 | Pharmblue Illinois LLC | Pharmacy | 2960 Chartres St Ste 100, La Salle, IL 61301-1097 | 2015-10-15 |
| 1194144691 | Lifemed Illinois, LLC | Pharmacy | 881 Il Route 83, Bensenville, IL 60106-1219 | 2014-04-11 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
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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.