NPIMap

Organization Active NPI

PRN Pharmacies LTD

  • Community/Retail Pharmacy
  • Eldorado, IL
National Provider Identifier
1033246483
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRN PHARMACIES LTD
Doing business as
MEDICAP PHARMACY
Medicine Shoppe #2171
Practice address
1101 US Highway 45 N
Eldorado, IL 62930-3768
Phone
(618) 273-4941
Fax
(618) 273-8124
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Brad Ledbetter
Title
Vice President
Phone
(618) 252-5349

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 54006692 IL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1101 US Highway 45 N
Eldorado, IL 62930-3768

Mailing address

1101 US Highway 45 N
PO Box 449
Eldorado, IL 62930-3768
Phone (618) 273-4941

Other identifiers 3

IdentifierTypeStateIssuer
371061340001MedicaidIL
1440217OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3710613406293001OtherILHFS PAYEE #

Other names 2

  • MEDICAP PHARMACY Doing business as
  • Medicine Shoppe #2171 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200212001261 IL DME Supplier - Pharmacy 4082665021 Practice locations: Eldorado, IL
O20201028001085 IL Part B Supplier - Mass Immunization (Roster Biller Only) 4082665021 Practice locations: Eldorado, IL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medicine Shoppe #21711101 US Highway 45 N, Eldorado, IL 62930-3768(619) 273-4941 Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 2017

National Provider Directory

National Provider Directory
Tax ID family
The Medicine Shoppe8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1101 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-4941

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1033246483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 US HIGHWAY 45 N",
            "address_2": "PO BOX 449",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629303768",
            "telephone_number": "618-273-4941",
            "fax_number": "618-273-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 US HIGHWAY 45 N",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629303768",
            "telephone_number": "618-273-4941",
            "fax_number": "618-273-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN PHARMACIES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-252-5349"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "54006692",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371061340001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1440217",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFS PAYEE #",
            "identifier": "3710613406293001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicine Shoppe #2171",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eldorado, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.