Active NPI
Axlines Inc
Doing business as Axline Pharmacy (01)
- Community/Retail Pharmacy
- Monmouth, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 54007420
- Legal business name
- AXLINES INC
- Doing business as
- Axline Pharmacy (01)
- Practice address
- 220 N Main St
Monmouth, IL 61462-1741 - Phone
- (309) 734-5196
- Fax
- (309) 734-5356
- NPI assigned
- Apr 13, 2006
- Last updated
- Oct 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Morgan June Bair
- Title
- Pharmd
- Phone
- (309) 734-5196
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203.000106 | IL | |
| Community/Retail Pharmacy | 3336C0003X | 54007420 | IL | Primary |
Addresses
Primary practice location
220 N Main St
Monmouth, IL 61462-1741
Mailing address
PO Box 1087
Bloomington, IL 61702-1087
Phone (309) 734-5196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1409665 | Other | NCPDP NUMBER |
Other names 1
- AXLINE PHARMACY (01)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930063592 | IL | DME Supplier - Pharmacy | 3870610876 | Practice locations: Monmouth, IL |
| O20200609002982 | IL | Part B Supplier - Pharmacy | 3870610876 | Practice locations: Monmouth, IL |
| O20210301000094 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 3870610876 | Practice locations: Monmouth, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2181704 | Axline Pharmacy (01) | Certificate of waiver | Apr 8, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Axlines Inc | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelcha… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Axlines Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Bloomington, IL
- NPI 1215237359
-
- Community/Retail Pharmacy
- Roseville, IL
- NPI 1255344883
-
dba Flanagan Health Mart Pharmacy
- Community/Retail Pharmacy
- Flanagan, IL
- NPI 1376593483
Locations
220 N Main St
Monmouth, IL 61462
Phone (309) 734-5196
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Monmouth, IL
- NPI 1528675659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1801850276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1087",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617021087",
"telephone_number": "309-734-5196",
"fax_number": "309-734-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N MAIN ST",
"city": "MONMOUTH",
"state": "IL",
"postal_code": "614621741",
"telephone_number": "309-734-5196",
"fax_number": "309-734-5356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AXLINES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "BAIR",
"authorized_official_first_name": "MORGAN",
"authorized_official_middle_name": "JUNE",
"authorized_official_title_or_position": "PHARMD",
"authorized_official_telephone_number": "309-734-5196"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "203.000106",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "54007420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "1409665",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AXLINE PHARMACY (01)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monmouth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.