Senior Med Services Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

58013523 Issued in IL

Legal business name

SENIOR MED SERVICES INC

Doing business as

UVANTA Pharmacy - Southern Illinois

Practice address

7846 Aviation Dr
Marion, IL 62959-5818

Phone

(618) 993-2900

Fax

(618) 998-1485

NPI assigned

Jan 3, 2007

Last updated

Mar 4, 2016By 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

John Stoecklin, RPHNPI 1669691911

Title

President

Phone

(618) 993-2900

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• UVANTA Pharmacy - Southern Illinois Doing business as

Practitioners 1

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.

• John Edward Stoecklin, R.PH.

  • Geriatric Pharmacist
  • Marion, IL
  • NPI 1669691911
  Authorized official Same address or phone

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1518024926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7846 AVIATION DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595818",
            "telephone_number": "618-993-2900",
            "fax_number": "618-998-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7846 AVIATION DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595818",
            "telephone_number": "618-993-2900",
            "fax_number": "618-998-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MED SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "STOECKLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-993-2900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "58013523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100202430",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2021772",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B MASS IMMUNIZATION ROSTER",
            "identifier": "F300256063",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UVANTA Pharmacy - Southern Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Raymond Seaman, PHARM.D.
• Dena Seets
• Debera Katrina Segler, RRT
• Sydney Seiter, MOTR/L
• Select Physical Therapy Holdings, Inc. (NovaCare Rehabilitation)
• Senior Med Services Inc (UVANTA Pharmacy-Southern Illinois)
• Meghan Jo Shackleton, NP-C
• Donna S Shadowens
• Kalinda Jo Shaw
• Shawnee Health Service and Development Corp (Shawnee Health Care Marion OBGYN)

• Long Term Care Pharmacy in Marion, IL
• Providers in Marion, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.