Phil's Prescription Drugs, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHIL'S PRESCRIPTION DRUGS, INC.

Practice address

641 N. Pershing
Energy, IL 62933

Phone

(618) 942-4631

Fax

(618) 988-1309

NPI assigned

Feb 13, 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

Mr. Miller L Moore, R.PH.NPI 1740622414

Title

President

Phone

(618) 942-4631

Specialties & licenses 1

Addresses

Tax ID family

Phil's Prescription Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Phil's Prescription Drugs, Inc.

  dba The Medicine Shoppe

  • Community/Retail Pharmacy
  • Murphysboro, IL
  • NPI 1346382504
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miller Lee Moore, R.PH.

  • Pharmacist
  • Energy, IL
  • NPI 1740622414
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245372275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "ENERGY",
            "state": "IL",
            "postal_code": "629330279",
            "telephone_number": "618-942-4631",
            "fax_number": "618-988-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 N. PERSHING",
            "city": "ENERGY",
            "state": "IL",
            "postal_code": "62933",
            "telephone_number": "618-942-4631",
            "fax_number": "618-988-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL'S PRESCRIPTION DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MILLER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-942-4631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisha Nicole Lenard
• Bethany Lyann Mocaby, RN
• Jeff Mocilan, M.S.,P.T.
• Miller Lee Moore, R.PH.
• Leah Naegeli
• Erin Michelle Pickles
• Rides Mass Transit District (MedTrans)
• Susan Helen Saniie, LAC.MAC.
• Anne Renee Silver, LCSW
• Tracy Dawn Smith, LCPC

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