Moline Drug Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.008409 Issued in IL

Legal business name

MOLINE DRUG INC.

Practice address

1610 15TH Street PL
Moline, IL 61265-3959

Phone

(309) 762-0971

Fax

(309) 762-4722

NPI assigned

Feb 9, 2007

Last updated

Mar 7, 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

Scott Sunner, RPH

Title

President

Phone

(309) 762-0971

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1174664395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 15TH STREET PL",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653959",
            "telephone_number": "309-762-0971",
            "fax_number": "309-762-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 15TH STREET PL",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653959",
            "telephone_number": "309-762-0971",
            "fax_number": "309-762-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINE DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SUNNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-762-0971",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.008409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1449188",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Stanton Moen, MD
• Cheryl Mohr, PHARM D
• Christopher Henry Molck, D.C.
• Moline Anesthesia PLLC
• Moline Chiropractic Clinic, PC
• Moline NH LLC (River Crossing of Moline)
• Moline Nursing and Rehabilitation LLC
• Moline Rem Center, LLC
• Moline Unit School District 40
• Jessica Molnar

• Community/Retail Pharmacy in Moline, IL
• Providers in Moline, 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 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.