The Medicine Shoppe Pharmacy is an authorized DME supplier for medicare equipments and products.
The Medicine Shoppe Pharmacy is a Community/Retail Pharmacy in Jerseyville, Illinois. This pharmacy is owned and operated by Mallex Corporation. It is located at 400a W Carpenter St, Jerseyville and it's customer support contact number is 618-498-6461. The authorized person of The Medicine Shoppe Pharmacy is Ethan Vandersand who is President of the pharmacy and his contact number is 618-498-6461. Active license number of The Medicine Shoppe Pharmacy is 054.018000 for Community/Retail Pharmacy in Illinois. The Medicine Shoppe Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. The Medicine Shoppe Pharmacy is 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.
Pharmacy Details:
The Medicine Shoppe Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
The Medicine Shoppe Pharmacy
Type:
Community/Retail Pharmacy
Location:
400a W Carpenter St, Jerseyville, Illinois, 62052-2522
Phone:
618-498-6461
Fax:
618-639-9450
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Ethan Vandersand
Position:
President
Contact Number:
618-498-6461
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1023363025
NPI Enumeration Date:
17 Jul, 2012
NPI Last Update On:
05 Jul, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Medicine Shoppe Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
054.018000
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2137095
Other
Pk
Medicare Enrollment:
The Medicine Shoppe Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6305083932
O20130520000012
Mallex Corporation
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
400a W Carpenter St, Jerseyville, Illinois
Zip:
62052-2522
Phone Number:
618-498-6461
Fax Number:
618-639-9450
Patients can reach The Medicine Shoppe Pharmacy at 400a W Carpenter St, Jerseyville, Illinois or can call on customer care at 618-498-6461.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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