Monticello Drugs, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

18710433 Issued in IL

Legal business name

MONTICELLO DRUGS, INC

Practice address

109 W Main St
Monticello, IL 61856-1967

Phone

(217) 762-3176

Fax

(217) 762-2330

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin R Woodruff, RPH

Title

Pharmacist in Charge

Phone

(217) 762-3176

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1174558688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561967",
            "telephone_number": "217-762-3176",
            "fax_number": "217-762-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561967",
            "telephone_number": "217-762-3176",
            "fax_number": "217-762-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "217-762-3176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "18710433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1452921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Schumacher Nutrition Therapy LLC
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• Zeinab Hani Mohsen, PHARMD
• Monticello Comm Unit SD 25
• Teresa L Nayden, PTA
• Brooke E Nicol, LCSW
• Nottus Inc
• Amber Oberheim, APN
• Jennifer M Oyler, PA-C

• Durable Medical Equipment & Medical Supplies in Monticello, IL
• Providers in Monticello, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.