Organization Active NPI

Express Medical Pharmacy LLC

  • Specialty Pharmacy
  • Belleville, IL
National Provider Identifier
1720539752
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
054019416 Issued in IL
Legal business name
EXPRESS MEDICAL PHARMACY LLC
Practice address
1 Royal Heights Ctr
Belleville, IL 62226-5705
Phone
(800) 633-4227
Fax
(618) 641-9801
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Hiba AlhalabiNPI 1285290221
Title
Owner Pharmacist in Charge
Phone
(618) 973-3879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2018005586 MO
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X 054019416 IL Primary

Addresses

Primary practice location

1 Royal Heights Ctr
Belleville, IL 62226-5705

Mailing address

1010 Devonworth Manor Way
Town and Country, MO 63017-8548
Phone (618) 973-3879

Other identifiers 2

IdentifierTypeStateIssuer
2164622OtherPK
3489444326222601MedicaidIL

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1720539752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 DEVONWORTH MANOR WAY",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178548",
            "telephone_number": "618-973-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROYAL HEIGHTS CTR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265705",
            "telephone_number": "800-633-4227",
            "fax_number": "618-641-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ALHALABI",
        "authorized_official_first_name": "HIBA",
        "authorized_official_title_or_position": "OWNER PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "618-973-3879"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2018005586",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "054019416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164622",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3489444326222601",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.