Organization Active NPI

Aleman Enterprises

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • O'Fallon, IL
National Provider Identifier
1053476481
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ALEMAN ENTERPRISES
Doing business as
Medicine Shoppe
Practice address
122 W State St
O Fallon, IL 62269-1161
Phone
(618) 632-8309
Fax
(618) 632-5390
NPI assigned
Dec 26, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Sam Aleman, RPH
Title
Owner Pharmacist
Phone
(618) 632-8309

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X IL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

122 W State St
O Fallon, IL 62269-1161

Mailing address

122 W State St
O Fallon, IL 62269-1161

Other identifiers 1

IdentifierTypeStateIssuer
1440394OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1053476481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W STATE ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W STATE ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691161",
            "telephone_number": "618-632-8309",
            "fax_number": "618-632-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEMAN ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "618-632-8309",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1440394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.