Medicate Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDICATE PHARMACY INC

Practice address

2166 Madison Ave
Granite City, IL 62040-4700

Phone

(618) 875-1000

Fax

(618) 875-8912

NPI assigned

Dec 26, 2014

Organization subpart

Yes

Parent organization

MEDICATE PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Mr. Michael Lee Schaltenbrand, R.PH.

Title

President

Phone

(618) 875-1000

Specialties & licenses 1

Addresses

Tax ID family

Medicate Pharmacy Inc2 organizations share this tax ID, including this one

Part of

Medicate Pharmacy Inc

Other organizations with this tax ID 1

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

• Medicate Pharmacy Inc

  • Community/Retail Pharmacy
  • Centreville, IL
  • NPI 1871086082
  NPD tax ID

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1407244502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404700",
            "telephone_number": "618-875-1000",
            "fax_number": "618-875-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404700",
            "telephone_number": "618-875-1000",
            "fax_number": "618-875-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICATE PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICATE PHARMACY INC",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "SCHALTENBRAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-875-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda McCallister, LCSW
• Jillian McCammack, LPC
• Stephen Ray McClain, PHARMD
• Rachel Kay McDanel, SLP-CCC
• Bill F McMasters, DDS
• Jan M Mehelic, DMD
• Lisa Marie Meredith, APN
• Melvin D Merritt, M.D.
• Michael Merten, MS, ATC,
• Mid-America Psychiatric Consultants, LLC

• Community/Retail Pharmacy in Granite City, IL
• Providers in Granite City, 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 Dec 26, 2014; 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.