Bwe & Tme Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054016160 Issued in IL

Legal business name

BWE & TME INC

Doing business as

Millstadt Pharmacy

Practice address

120 W Washington St
Millstadt, IL 62260-1156

Phone

(618) 476-1701

Fax

(618) 476-1709

NPI assigned

Aug 6, 2007

Last updated

Oct 30, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Whitworth, RPH

Title

Owner

Phone

(618) 343-2525

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MILLSTADT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Tax ID family

Bwe Tme Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bwe & Tme Inc

  dba Millstadt Pharmacy

  • Long Term Care Pharmacy
  • Millstadt, IL
  • NPI 1326651613
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonita Decker, RPH

  • Pharmacist
  • Belleville, IL
  • NPI 1841243672
  NPD (past)
• Raymond Glenn Varnum, RPH

  • Pharmacist
  • Belleville, IL
  • NPI 1043263874
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1013108893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W WASHINGTON ST",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622601156",
            "telephone_number": "618-476-1701",
            "fax_number": "618-476-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W WASHINGTON ST",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622601156",
            "telephone_number": "618-476-1701",
            "fax_number": "618-476-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWE & TME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "WHITWORTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-343-2525",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054016160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2023592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLSTADT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MILLSTADT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Joann Anderson, CRNA
• Ulrica Elisabeth Bateman, M.S.,CCC-SLP
• Brian C Blair, RPH
• Penny Bobcik, RPH
• Stephanie Marie Bobcik
• Bwe & Tme Inc (Millstadt Pharmacy)
• Christen Dahm
• Rhonda Daniels
• Dean Healthcare LLC (schmidt chiropractic)
• Richard Erler

• Community/Retail Pharmacy in Millstadt, IL
• Providers in Millstadt, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.