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EXPRESS MEDICAL PHARMACY LLC NPI 1720539752


NPI Information

NPI: 1720539752
Provider Name: EXPRESS MEDICAL PHARMACY LLC

Doing Business As: MEDICINE SHOPPE

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
1 ROYAL HEIGHTS CTR
BELLEVILLE, IL
ZIP 62226
Phone: (800) 633-4227
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EXPRESS MEDICAL PHARMACY LLC is a specialty pharmacy pharmacy in Belleville, IL. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. EXPRESS MEDICAL PHARMACY LLC NPI is 1720539752. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

1 ROYAL HEIGHTS CTR
BELLEVILLE, IL
ZIP 62226-705
Phone: (800) 633-4227
Fax: (618) 641-9801

The provider's authorized official is Hiba Alhalabi .
The authorized official title is Owner Pharmacist In Charge and has the following contact phone number (618) 973-3879.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy2018005586MISSOURINo
23336C0004XPharmacyCompounding PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
4333600000XPharmacyNo
53336S0011XPharmacySpecialty Pharmacy054019416ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12164622OTHERPK
23489444326222601MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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