Organization Active NPI

C & D Pharmacy Services Inc

  • Community/Retail Pharmacy
  • Springfield, IL
National Provider Identifier
1467546879
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
C & D PHARMACY SERVICES INC
Doing business as
Medicine Shoppe
Practice address
133 N Grand Ave E
Springfield, IL 62702-3859
Phone
(217) 525-0058
Fax
(217) 525-0034
NPI assigned
Oct 3, 2006
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
David Mikus, RPH
Title
Owner Pharmacist
Phone
(217) 525-0058

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Pharmacy 333600000X IL

Addresses

Primary practice location

133 N Grand Ave E
Springfield, IL 62702-3859

Mailing address

133 N Grand Ave E
Springfield, IL 62702-3859

Other identifiers 1

IdentifierTypeStateIssuer
1447247OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1467546879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N GRAND AVE E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N GRAND AVE E",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023859",
            "telephone_number": "217-525-0058",
            "fax_number": "217-525-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & D PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MIKUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "217-525-0058",
        "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": "1447247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.