Active NPI
RX Stores LLC
- Long Term Care Pharmacy
- Shelbyville, IL
National Provider Identifier
1548005242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- RX STORES LLC
- Practice address
- 1603 W Main St
Shelbyville, IL 62565-9571 - Phone
- (217) 774-7838
- Fax
- (217) 774-2058
- NPI assigned
- Jun 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Falk
- Title
- Owner
- Phone
- (217) 362-6226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1603 W Main St
Shelbyville, IL 62565-9571
Mailing address
1603 W Main St
Shelbyville, IL 62565-9571
Phone (217) 774-7838
Other names 1
- Family Drug LTC
National Provider Directory
National Provider Directory- Tax ID family
- RX Stores LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Arcola, IL
- NPI 1215540570
-
- Community/Retail Pharmacy
- Shelbyville, IL
- NPI 1396283073
-
- Community/Retail Pharmacy
- Pana, IL
- NPI 1811451594
-
- Community/Retail Pharmacy
- Shelbyville, IL
- NPI 1992792345
Locations
1603 W Main St
Shelbyville, IL 62565
Phone (217) 774-7838
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Shelbyville, IL
- NPI 1891856126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1548005242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 W MAIN ST",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "625659571",
"telephone_number": "217-774-7838",
"fax_number": "217-774-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 W MAIN ST",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "625659571",
"telephone_number": "217-774-7838",
"fax_number": "217-774-2058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RX STORES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "FALK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-362-6226"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Drug LTC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shelbyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.