NPIMap

Organization Active NPI

Houchens Express Pharmacy LLC

Doing business as Sheldon's Express Pharmacy #9

  • Community/Retail Pharmacy
  • Mount Carmel, IL
National Provider Identifier
1427619865
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOUCHENS EXPRESS PHARMACY LLC
Doing business as
Sheldon's Express Pharmacy #9
Practice address
1325 W 9TH St
Mount Carmel, IL 62863-2906
Phone
(618) 263-9101
NPI assigned
Jun 26, 2019
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Leslie Lyn Bidwell, CPHT
Title
Operations Coordinator
Phone
(270) 901-3431

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1325 W 9TH St
Mount Carmel, IL 62863-2906

Mailing address

1325 W 9TH St
Mount Carmel, IL 62863-2906
Phone (618) 263-9101

Other identifiers 3

IdentifierTypeStateIssuer
054.021282OtherILIL PHARMACY PERMIT
320.013069OtherILILLINOIS CSR
1495541OtherNCPDP

Other names 1

  • Sheldon's Express Pharmacy #9 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190925000989 IL Part B Supplier - Mass Immunization (Roster Biller Only) 6305044850 Practice locations: Mount Carmel, IL
O20191203003210 IL DME Supplier - Pharmacy 6305044850 Practice locations: Mount Carmel, IL

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sheldon's Express Pharmacy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1325 W 9th St
Mount Carmel, IL 62863
Phone (618) 263-4543

1810 N Main St
#6
Huntingburg, IN 47542
Phone (812) 683-9600

312 E 12th St
Huntingburg, IN 47542
Phone (812) 683-9600

312 E 12th St
#6
Huntingburg, IN 47542
Phone (812) 683-9600

750 2nd St
#4
Jasper, IN 47546
Phone (812) 634-7379

509 Main St
Rockport, IN 47635
Phone (812) 649-2227

509 Main St
#7
Rockport, IN 47635
Phone (812) 634-7379

815 Sycamore St
Rockport, IN 47635
Phone (812) 649-2227

760 Campbell Ln
Ste 121
Bowling Green, KY 42104
Phone (270) 782-6337

8439 Nashville Rd
Bowling Green, KY 42101
Phone (270) 936-6080

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427619865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W 9TH ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632906",
            "telephone_number": "618-263-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W 9TH ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632906",
            "telephone_number": "618-263-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUCHENS EXPRESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "270-901-3431",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL PHARMACY PERMIT",
            "identifier": "054.021282",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS CSR",
            "identifier": "320.013069",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1495541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheldon's Express Pharmacy #9",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sheldon's Express Pharmacy #9",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Carmel, IL

Sources for this page

  • 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.