NPIMap

Organization Active NPI

Sparta Community Hospital District

Doing business as Moody Pharmacy

  • Community/Retail Pharmacy
  • Sparta, IL
National Provider Identifier
1104791243
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SPARTA COMMUNITY HOSPITAL DISTRICT
Doing business as
Moody Pharmacy
Practice address
109 E Broadway St
Sparta, IL 62286-1678
Phone
(618) 443-1354
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Joann Emge
Title
Ceo
Phone
(618) 443-1337

Specialties & licenses 1

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

Addresses

Primary practice location

109 E Broadway St
Sparta, IL 62286-1678

Mailing address

818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-1354

Other names 1

  • Moody Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elvira S Salarda MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

109 E Broadway St
Sparta, IL 62286
Phone (618) 443-1354

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1104791243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 E BROADWAY ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861820",
            "telephone_number": "618-443-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E BROADWAY ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861678",
            "telephone_number": "618-443-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "EMGE",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-443-1337"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moody Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.