Active NPI
The Four L's Inc
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- Edwardsville, IL
National Provider Identifier
1821149766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- THE FOUR L'S INC
- Doing business as
- Medicine Shoppe
- Practice address
- 447 S Buchanan St
Edwardsville, IL 62025-2064 - Phone
- (618) 692-4441
- Fax
- (618) 692-4415
- NPI assigned
- Jan 16, 2007
- 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
- Mrs. Vicki L Thalmann, RN
- Title
- Owner
- Phone
- (618) 692-4441
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | IL | Primary | |
| Pharmacy | 333600000X | IL |
Addresses
Primary practice location
447 S Buchanan St
Edwardsville, IL 62025-2064
Mailing address
447 S Buchanan St
Edwardsville, IL 62025-2064
Phone (618) 692-4441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467201 | Other | IL | NCPDP # |
Other names 1
- Medicine Shoppe
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1821149766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 S BUCHANAN ST",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620252064",
"telephone_number": "618-692-4441",
"fax_number": "618-692-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 S BUCHANAN ST",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620252064",
"telephone_number": "618-692-4441",
"fax_number": "618-692-4415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FOUR L'S INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "THALMANN",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-692-4441",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP #",
"identifier": "1467201",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edwardsville, 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.