Amicare Pharmacy, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203001033 Issued in IL

Legal business name

AMICARE PHARMACY, INC

Doing business as

Hart Medical Supply

Practice address

4101 John Deere Rd
Moline, IL 61265-6790

Phone

(309) 517-6710

Fax

(309) 517-6708

NPI assigned

Nov 27, 2006

Last updated

Jul 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Merideth, RPH

Title

Manager

Phone

(309) 517-6710

Specialties & licenses 1

Addresses

Other names 1

• HART MEDICAL SUPPLY Doing business as

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1487720140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656790",
            "telephone_number": "309-517-6710",
            "fax_number": "309-517-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656790",
            "telephone_number": "309-517-6710",
            "fax_number": "309-517-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICARE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "MERIDETH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-517-6710",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203001033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HART MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Moline, IL
• Providers in Moline, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.