Schnuck Markets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SCHNUCK MARKETS INC

Doing business as

Schnucks Pharmacy

Practice address

110 Carlyle Plaza Dr
Belleville, IL 62221-6678

Phone

(618) 234-8097

Fax

(618) 234-8199

NPI assigned

Jun 25, 2006

Last updated

Jan 24, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SCHNUCK MARKETS INCAs reported in NPPES

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

Authorized official

Name

Lisa Dobbs

Title

MGR 3Rd Party Claims

Phone

(314) 994-4902

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• SCHNUCKS PHARMACY Doing business as

Part of

Schnucks Pharmacy 116

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Schnuck Markets Inc

  dba Schnucks Pharmacy 232

  • Community/Retail Pharmacy
  • Edwardsville, IL
  • NPI 1780169540
  NPPES parent name

Practitioners 3

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.

• Dean Michael Alberts, RPH

  • Pharmacist
  • Belleville, IL
  • NPI 1689150294
  NPD (past)
• Julie Lynn Kroenig

  • Pharmacist
  • Belleville, IL
  • NPI 1164908455
  NPD (past)
• Julia Ann Larue, RPH

  • Pharmacist
  • Belleville, IL
  • NPI 1013494103
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1811923162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 LACKLAND RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARLYLE PLAZA DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622216678",
            "telephone_number": "618-234-8097",
            "fax_number": "618-234-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHNUCK MARKETS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCHNUCK MARKETS INC",
        "enumeration_date": "2006-06-25",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MGR 3RD PARTY CLAIMS",
        "authorized_official_telephone_number": "314-994-4902"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "05412053",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "05412053",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NU",
            "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": "1465841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCHNUCKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCHNUCKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katheleen Schmidt, M.ED. AND ED.S.
• Nicole Renee Schmidt, MS CCC SLP
• Stephen A Schmidt, M.D.
• Deborah Jean Schneider, PT
• Thomas J Schneider
• Paul M Schroeder, MD
• Edward Schuessler
• Kristal A Schuette, SLP
• Reed DJ Schulze, DC
• Jean Schumaker, PAC

• Community/Retail Pharmacy in Belleville, IL
• Providers in Belleville, 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 Jan 24, 2019; 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.