Active NPI
Metrolpolis Drugs II Inc
- Community/Retail Pharmacy
- Metropolis, IL
National Provider Identifier
1194866053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054.013117
- Legal business name
- METROLPOLIS DRUGS II INC
- Practice address
- 1201 W 10TH St
Metropolis, IL 62960-2433 - Phone
- (618) 524-8400
- Fax
- (618) 524-9961
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Lawson, RPH
- Title
- Owner/ Medicare Coordinator
- Phone
- (618) 524-8400
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054.013117 | IL | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1201 W 10TH St
Metropolis, IL 62960-2433
Mailing address
1201 W 10TH St
Metropolis, IL 62960-2433
Phone (618) 524-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022209 | Other | PK |
Other names 1
- METROLPOLIS DRUGS II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930003272 | IL | DME Supplier - Pharmacy | 5698896181 | Practice locations: Metropolis, IL |
| O20161107001423 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698896181 | Practice locations: Metropolis, IL |
National Provider Directory
National Provider Directory- Tax ID family
- Metropolis Drugs II Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Metropolis, IL
- NPI 1467043257
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Metropolis, IL
- NPI 1992396782
-
- Pharmacist
- Metropolis, IL
- NPI 1225854805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480896000000",
"number": "1194866053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W 10TH ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629602433",
"telephone_number": "618-524-8400",
"fax_number": "618-524-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W 10TH ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629602433",
"telephone_number": "618-524-8400",
"fax_number": "618-524-9961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROLPOLIS DRUGS II INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2016-12-05",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "OWNER/ MEDICARE COORDINATOR",
"authorized_official_telephone_number": "618-524-8400",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "054.013117",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2022209",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "METROLPOLIS DRUGS II",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.