Active NPI
Gelsthorpes Inc
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- Jerseyville, IL
National Provider Identifier
1548354954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GELSTHORPES INC
- Doing business as
- Medicine Shoppe
- Practice address
- 400A W Carpenter St
Jerseyville, IL 62052-2522 - Phone
- (618) 498-6461
- Fax
- (618) 639-9450
- NPI assigned
- Oct 3, 2006
- 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
- Cindy Gelsthorpe, RPH
- Title
- Owner Pharmacist
- Phone
- (618) 498-6461
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 054009841 | IL | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
400A W Carpenter St
Jerseyville, IL 62052-2522
Mailing address
400A W Carpenter St
Jerseyville, IL 62052-2522
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37125924001 | Medicaid | IL | |
| 1458620 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- Medicine Shoppe
National Provider Directory
National Provider DirectoryLocations
400A W Carpenter St
Jerseyville, IL 62052
Phone (618) 498-6461
400 W Carpenter St
#A
Jerseyville, IL 62052
Phone (618) 498-6461
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
- Jerseyville, IL
- NPI 1316297088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1548354954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400A W CARPENTER ST",
"city": "JERSEYVILLE",
"state": "IL",
"postal_code": "620522522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400A W CARPENTER ST",
"city": "JERSEYVILLE",
"state": "IL",
"postal_code": "620522522",
"telephone_number": "618-498-6461",
"fax_number": "618-639-9450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GELSTHORPES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GELSTHORPE",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "618-498-6461",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": "054009841",
"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": "37125924001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1458620",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jerseyville, 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.