NPIMap

Organization Active NPI

Town & Country Pharmacies, Inc.

Doing business as Medicenter Pharmacy Du Quoin

  • Long Term Care Pharmacy
  • Du Quoin, IL
National Provider Identifier
1821557240
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TOWN & COUNTRY PHARMACIES, INC.
Doing business as
Medicenter Pharmacy Du Quoin
Practice address
204 S Washington St
Du Quoin, IL 62832-1805
Phone
(618) 542-2575
Fax
(618) 542-3688
NPI assigned
Mar 15, 2019
Last updated
Mar 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Stephen Sommer
Title
Owner/Cfo
Phone
(314) 965-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

204 S Washington St
Du Quoin, IL 62832-1805

Mailing address

132 W Monroe Ave
Kirkwood, MO 63122-5816
Phone (314) 965-4700

Other identifiers 1

IdentifierTypeStateIssuer
054014985OtherILSTATE PHARMACY LICENSE

Other names 1

  • Medicenter Pharmacy Du Quoin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Town Country Pharmacies Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1821557240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W MONROE AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225816",
            "telephone_number": "314-965-4700",
            "fax_number": "314-965-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S WASHINGTON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628321805",
            "telephone_number": "618-542-2575",
            "fax_number": "618-542-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN & COUNTRY PHARMACIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "314-965-4700"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "054014985",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicenter Pharmacy Du Quoin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Du Quoin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.