Moreland and Devitt, Inc
Organization Active NPI Pharmacy · Rushville, IL
NPI 1235249756 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1235249756
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 54007553 (IL)
- Legal business name
- MORELAND AND DEVITT, INC
- Practice address
- 124 N Congress St
Rushville, IL 62681-1434 - Phone
- (217) 322-3333
- Fax
- (217) 322-6817
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Scott Allen Stoll
- Title
- Chief Executive Officer
- Phone
- (217) 322-3333
Corporate family (same tax ID) 3
Practitioners 3
-
Shane Michael Miller, PHARMD
-
Garrison Moreland, RPH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2013037 | Moreland & Devitt Pharmacy | Certificate of waiver | Sep 13, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Moreland and Devitt, Inc |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091022000365 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 4486791514 | Practice locations: Rushville, IL |
| O20100930000338 | IL | DME Supplier - Pharmacy |
4486791514 | Practice locations: Rushville, IL |
National Provider Directory
- Tax ID family
- Moreland and Devitt Inc
Locations
124 N Congress St
Rushville, IL 62681
Phone (217) 322-3333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Pharmacy | 333600000X | 54007553 | IL | Yes |
Addresses
Primary practice location
124 N Congress St
Rushville, IL 62681-1434
Mailing address
124 N Congress St
PO Box 319
Rushville, IL 62681-1434
Phone (217) 322-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0253920001 | Other | MEDICARE RAILROAD |
NPI Registry JSON
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1235249756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 N CONGRESS ST",
"address_2": "PO BOX 319",
"city": "RUSHVILLE",
"state": "IL",
"postal_code": "626811434",
"telephone_number": "217-322-3333",
"fax_number": "217-322-6817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 N CONGRESS ST",
"city": "RUSHVILLE",
"state": "IL",
"postal_code": "626811434",
"telephone_number": "217-322-3333",
"fax_number": "217-322-6817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORELAND AND DEVITT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "STOLL",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "217-322-3333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": "54007553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "0253920001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rushville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.