Medshop Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054008943 Issued in IL

Legal business name

MEDSHOP INC

Doing business as

Medicine Stop of River Forest

Practice address

7756 Madison St
River Forest, IL 60305-2058

Phone

(708) 771-6363

Fax

(708) 771-6368

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Tom Kukulski, B.S.

Title

President

Phone

(708) 771-6363

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MEDICINE STOP OF RIVER FOREST Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1689685224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7756 MADISON ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7756 MADISON ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603052058",
            "telephone_number": "708-771-6363",
            "fax_number": "708-771-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "KUKULSKI",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-771-6363",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054008943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1453137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE STOP OF RIVER FOREST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean McInerney
• Teresa McKenzie, MD
• Jill Christine McMahon, D.M.D
• Victoria Meadows, RN, BSN, IBCLC
• Medicus Durable Medical Equip. Co.
• Michelle Annette Melyn, MD
• Araceli Mendoza, FNP-BC
• Lucya Angelica Mendoza
• Scott M Mercola, MD
• Merit Center for Sleep Health of Oak Park, LLC

• Community/Retail Pharmacy in River Forest, IL
• Providers in River Forest, 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 26, 2009; 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.