Organization Active NPI

H&S Pharmacies, LLC

  • Community/Retail Pharmacy
  • Carbondale, IL
National Provider Identifier
1538490487
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054016771 Issued in IL
Legal business name
H&S PHARMACIES, LLC
Doing business as
Medicenter Pharmacy Carbondale
Practice address
2300 W Main Street
Carbondale, IL 62901
Phone
(618) 529-5351
Fax
(618) 529-7653
NPI assigned
Jan 15, 2010
Organization subpart
Yes
Parent organization
H&S PHARMACIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
John Peter Schreiber
Title
Owner
Phone
(314) 965-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054016771 IL Primary

Addresses

Primary practice location

2300 W Main Street
Carbondale, IL 62901

Mailing address

2300 W Main Street
Carbondale, IL 62901
Phone (314) 965-4700

Other identifiers 1

IdentifierTypeStateIssuer
1233730003MedicaidIL

Other names 1

  • Medicenter Pharmacy Carbondale Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200723001253 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3678804481 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carbondale, IL; Anna, IL; Chester, IL; Carterville, IL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
HS Pharmacies LLC2 organizations share this tax ID, including this one
Part of
HS Pharmacies LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1538490487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MAIN STREET",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "314-965-4700",
            "fax_number": "618-529-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MAIN STREET",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62901",
            "telephone_number": "618-529-5351",
            "fax_number": "618-529-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&S PHARMACIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "H&S PHARMACIES, LLC",
        "enumeration_date": "2010-01-15",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-965-4700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054016771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1233730003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicenter Pharmacy Carbondale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.