Organization Active NPI

Medi-RX Pharmacy, Inc

  • Community/Retail Pharmacy
  • Ottawa, IL
National Provider Identifier
1750332763
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDI-RX PHARMACY, INC
Practice address
411 W Main St
Ottawa, IL 61350-2801
Phone
(815) 433-2255
Fax
(815) 434-0391
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. John Emmett McLachlan, RPHNPI 1669426318
Title
President/Owner
Phone
(815) 433-2255

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 1

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

Addresses

Primary practice location

411 W Main St
Ottawa, IL 61350-2801

Mailing address

411 W Main St
Ottawa, IL 61350-2801
Phone (815) 433-2255

Other identifiers 1

IdentifierTypeStateIssuer
1407281OtherNABP INS NUMBER

National Provider Directory

National Provider Directory

Locations

411 W Main St
Ottawa, IL 61350
Phone (815) 433-2255

Practitioners & affiliated clinicians

Practitioners 1

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": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750332763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502801",
            "telephone_number": "815-433-2255",
            "fax_number": "815-434-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W MAIN ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502801",
            "telephone_number": "815-433-2255",
            "fax_number": "815-434-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-RX PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCLACHLAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EMMETT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "815-433-2255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP INS NUMBER",
            "identifier": "1407281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • 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.