MLM Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054014788 Issued in IL

Legal business name

MLM PHARMACY, INC.

Practice address

215 N Broadway Ave
Salem, IL 62881-1511

Phone

(618) 548-0070

Fax

(618) 548-9846

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Michael MortonNPI 1245509603

Title

Owner

Phone

(618) 548-0070

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• MEDICINE SHOPPE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Michael Lynn Morton, R.PH.

  • Pharmacist
  • Salem, IL
  • NPI 1245509603
  NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1285728691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N BROADWAY AVE",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N BROADWAY AVE",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811511",
            "telephone_number": "618-548-0070",
            "fax_number": "618-548-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLM PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-548-0070"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054014788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1448530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauryn Elizabeth McMullin-Woods
• Christopher Evan Meier, PT, DPT
• Meristem Healthcare PLLC
• Jerry P Milas, D.O.
• Alicia Marie Miller-Hall
• Alan D Montgomery, OD
• Megan Chelsey Montgomery, CD (DONA)
• Moore Than Behavior
• Brittany Moore, BCBA
• Connie Susan Moore, MS,CCC/SLP

• Community/Retail Pharmacy in Salem, IL
• Providers in Salem, 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 Mar 7, 2023; 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.

Verify at the official NPI Registry.