MBRX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MBRX INC

Doing business as

MEDICAP PHARMACY

Practice address

1111 W Morton Ave
Jacksonville, IL 62650-3165

Phone

(217) 245-1077

Fax

(217) 245-0006

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Martin R Barron, RPH

Title

Pres MBRX Pharmacist

Phone

(217) 245-1077

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• MEDICAP PHARMACY Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629180567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W MORTON AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503165",
            "telephone_number": "217-245-1077",
            "fax_number": "217-245-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MORTON AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626503165",
            "telephone_number": "217-245-1077",
            "fax_number": "217-245-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES MBRX PHARMACIST",
        "authorized_official_telephone_number": "217-245-1077",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054014047",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1456765",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3116317906265001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371239851001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Scott Markley, M.D.
• Scott Lee Marshall, PT
• James Nicholas Martin, D.C
• Edwin Roy Mathews, DO
• Kable May, PA
• Kayla Danielle McClusky
• Carter McDowell
• Clayton Edward McDowell, DMD
• Monteria McGee
• Danica B McKain, APN

• Community/Retail Pharmacy in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Community/Retail Pharmacy in Illinois

• 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.