Organization Active NPI

FHMS Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Fairview Heights, IL
National Provider Identifier
1508938390
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FHMS INC
Doing business as
Medicine Shoppe
Practice address
317 Salem PL
Suite 110
Fairview Heights, IL 62208-1347
Phone
(618) 632-2886
Fax
(618) 632-4914
NPI assigned
Nov 15, 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
Nelly Saad
Title
Owner
Phone
(618) 632-2886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 54015239 IL
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

317 Salem PL
Suite 110
Fairview Heights, IL 62208-1347

Mailing address

PO Box 1839
Fairview Heights, IL 62208-0039

Other identifiers 2

IdentifierTypeStateIssuer
0337763001MedicaidIL
1460168OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

317 Salem Pl
Ste 110
Fairview Heights, IL 62208
Phone (618) 632-2886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508938390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1839",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622080039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SALEM PL",
            "address_2": "SUITE 110",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081347",
            "telephone_number": "618-632-2886",
            "fax_number": "618-632-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-632-2886"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "54015239",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0337763001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1460168",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview Heights, 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.