NPIMap

Organization Active NPI

PRN Pharmacies LTD

  • Community/Retail Pharmacy
  • Shawneetown, IL
National Provider Identifier
1194237735
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRN PHARMACIES LTD
Doing business as
Medicine Shoppe
Practice address
254 North Lincoln Blvd. East
Shawneetown, IL 62984
Phone
(618) 269-6205
Fax
(618) 269-6208
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Mr. Brad Ledbetter
Title
Vice President
Phone
(618) 252-5349

Specialties & licenses 1

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

Addresses

Primary practice location

254 North Lincoln Blvd. East
Shawneetown, IL 62984

Mailing address

304 S Commercial St
Harrisburg, IL 62946-2108
Phone (618) 252-5349

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Medicine Shoppe8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1194237735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S COMMERCIAL ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462108",
            "telephone_number": "618-252-5349",
            "fax_number": "618-252-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 NORTH LINCOLN BLVD. EAST",
            "city": "SHAWNEETOWN",
            "state": "IL",
            "postal_code": "62984",
            "telephone_number": "618-269-6205",
            "fax_number": "618-269-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN PHARMACIES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-252-5349",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawneetown, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.