Moroni Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MORONI DRUGS INC

Doing business as

MORONI DRUGS

Practice address

109 W Monroe St
Herrin, IL 62948-1743

Phone

(618) 942-2331

Fax

(618) 942-7621

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Mike Chiaventone, RPH

Title

Owner

Phone

(618) 942-2331

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MORONI DRUGS Doing business as

Locations

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1366535700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MONROE ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629481743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MONROE ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629481743",
            "telephone_number": "618-942-2331",
            "fax_number": "618-942-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORONI DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHIAVENTONE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-942-2331",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1423362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORONI DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Nicole Mize
• Samantha Grace Mize, RBT
• Mobile Medical Monitors, LLC
• Richard L Morgan
• Taylor Ashley Morgan, RBT
• Jimmy J Morrison, MD
• Julie Farrar Moses, RD
• Amanda D. Mulch, M.D.
• Javier Muniz, D.O.
• Mike Murphy, CCC/SLP

• Community/Retail Pharmacy in Herrin, IL
• Providers in Herrin, 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 Apr 20, 2008; 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.