NPIMap

Organization Active NPI

Kirby Medical Center

Doing business as Kirby Rx

  • Community/Retail Pharmacy
  • Monticello, IL
National Provider Identifier
1568074714
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KIRBY MEDICAL CENTER
Doing business as
Kirby Rx
Kirby Rx - Store #2
Practice address
1402 N Market St
Monticello, IL 61856-8002
Phone
(217) 762-3377
Fax
(217) 762-4499
NPI assigned
Aug 19, 2020
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KIRBY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Jennifer Moss
Title
Ceo
Phone
(217) 762-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1402 N Market St
Monticello, IL 61856-8002

Mailing address

1000 Medical Center Dr
Monticello, IL 61856-2116
Phone (217) 762-1870

Other names 2

  • Kirby Rx Doing business as
  • Kirby Rx - Store #2 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201102000987 IL Part B Supplier - Pharmacy 6901791144 Practice locations: Monticello, IL

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
John and Mary E Kirby E

Locations

1109 N State St
Ste D
Monticello, IL 61856
Phone (217) 762-6301

2 Sage Crossing Blvd
Ste B
Monticello, IL 61856
Phone (217) 817-8525

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kirby Medical CenterMonticello, IL, CCN 141301 Hospital Other Sep 15, 1992
Kirby Medical CenterMonticello, IL, CCN 14Z301 Hospital Other Sep 15, 1992
Atwood Rural Health ClinicAtwood, IL, CCN 143438 Rural health clinic Other Sep 15, 1992
Kirby Medical GroupMonticello, IL, CCN 143495 Rural health clinic Other Sep 15, 1992
Cerro Gordo Rural Health ClinicCerro Gordo, IL, CCN 148566 Rural health clinic Other Sep 15, 1992

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 160

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.

View all 160

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1568074714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618562116",
            "telephone_number": "217-762-1870",
            "fax_number": "217-762-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N MARKET ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618568002",
            "telephone_number": "217-762-3377",
            "fax_number": "217-762-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIRBY MEDICAL CENTER",
        "enumeration_date": "2020-08-19",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-762-1501"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirby Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kirby Rx - Store #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, IL

Sources for this page

Verify at the official NPI Registry.