NPIMap

Organization Active NPI

Docrx, Inc.

  • Family Medicine Physician
  • Mount Vernon, IL
National Provider Identifier
1801221403
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036039250 Issued in IL
Legal business name
DOCRX, INC.
Practice address
4200 Williamson PL
Mount Vernon, IL 62864-6705
Phone
(618) 242-1400
Fax
(618) 248-3907
NPI assigned
Sep 13, 2013
Last updated
Sep 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Brian Ward
Title
Owner
Phone
(251) 605-4271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036039250 IL Primary

Addresses

Primary practice location

4200 Williamson PL
Mount Vernon, IL 62864-6705

Mailing address

4636 Bit and Spur Rd Ste a
Mobile, AL 36608-2646

National Provider Directory

National Provider Directory
Tax ID family
Docrx Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1801221403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 BIT AND SPUR RD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WILLIAMSON PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646705",
            "telephone_number": "618-242-1400",
            "fax_number": "618-248-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCRX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-605-4271"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036039250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.