Organization Active NPI

Gelsthorpes Inc

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Jerseyville, IL
National Provider Identifier
1548354954
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

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
Cindy Gelsthorpe, RPH
Title
Owner Pharmacist
Phone
(618) 498-6461

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
37125924001MedicaidIL
1458620OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.