Mulconreys Apothecary

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MULCONREYS APOTHECARY

Practice address

113 W 3Rd St
Beardstown, IL 62618-1142

Phone

(217) 323-4422

Fax

(217) 323-4480

NPI assigned

Sep 12, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Mulconrey

Title

Owner

Phone

(217) 323-4422

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730283789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626180011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W 3RD ST",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181142",
            "telephone_number": "217-323-4422",
            "fax_number": "217-323-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULCONREYS APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MULCONREY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-323-4422"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1443821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Erin Moorman, RPH
• Kim Moranville
• Rosario Morato, RSA
• Diane M Morris, MS,QMHP
• Ali J Morton, BS
• Diana Murray, BSW,MHP
• Jennifer Lynn Myers, RSA
• Nicholas Neeley, PHARMD
• Chris Alva Ottwell
• Pamida Stores Operating Co LLC (Pamida Pharmacy #681)

• Community/Retail Pharmacy in Beardstown, IL
• Providers in Beardstown, 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 Sep 11, 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.