Stotlar Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054-002164 Issued in IL

Legal business name

STOTLAR DRUG COMPANY INC

Practice address

1 N Walnut St
Pinckneyville, IL 62274-1025

Phone

(618) 357-8781

Fax

(618) 357-2249

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Shawn Menckowski

Title

Pharmacist/Store Manager

Phone

(618) 357-8781

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Lee Farris

  • Pharmacist
  • Pinckneyville, IL
  • NPI 1255429056
  NPD (past)
• Alyssa M Schmale, R.PH

  • Pharmacist
  • Pinckneyville, IL
  • NPI 1801178595
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1871604678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WALNUT ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741025",
            "telephone_number": "618-357-8781",
            "fax_number": "618-357-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WALNUT ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741025",
            "telephone_number": "618-357-8781",
            "fax_number": "618-357-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOTLAR DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "MENCKOWSKI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PHARMACIST/STORE MANAGER",
        "authorized_official_telephone_number": "618-357-8781"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054-002164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Schramke
• Catherine Schubert Chapman
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• L. Lee Sparks, O.T.
• Steele Dental LLC
• Synergy
• The Family Dental Center of Pinckneyville
• Rose Thornton
• Dan Varel, P.T.
• Vna Homecare, Inc.

• Community/Retail Pharmacy in Pinckneyville, IL
• Providers in Pinckneyville, 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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.