Martin Beardstown Pharmacy, LTD.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARTIN BEARDSTOWN PHARMACY, LTD.

Practice address

118 W 2ND St
Beardstown, IL 62618-1137

Phone

(217) 323-3002

Fax

(217) 323-3004

NPI assigned

Jan 15, 2007

Last updated

Aug 22, 2020By 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

Ann Jennet Johnson, RPH.

Title

Owner

Phone

(217) 323-3002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174674568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W 2ND ST",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181137",
            "telephone_number": "217-323-3002",
            "fax_number": "217-323-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W 2ND ST",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181137",
            "telephone_number": "217-323-3002",
            "fax_number": "217-323-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN BEARDSTOWN PHARMACY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "JENNET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-323-3002",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis L Maltby, RSA
• Amanda Dawn Maltby, RSA
• McKenna F Maltby, RSA
• Jody Mae Mangold, RSA
• Kristen Marshall, MSW
• Memorial Physician Services
• John Gauer Merrihew, D.M.D.
• Skylar Savannah Moore
• Rachel Erin Moorman, RPH
• Kim Moranville

• Community/Retail Pharmacy in Beardstown, IL
• Providers in Beardstown, 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 Aug 22, 2020; 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.