Organization Active NPI

H&S Pharmacies, LLC

Doing business as Tony's Medicenter Pharmacy

  • Community/Retail Pharmacy
  • Steeleville, IL
National Provider Identifier
1922112994
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054018839 Issued in IL
Legal business name
H&S PHARMACIES, LLC
Doing business as
Tony's Medicenter Pharmacy
Practice address
324 W Broadway
Steeleville, IL 62288-1407
Phone
(618) 965-3511
Fax
(618) 965-9526
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Authorized official

Name
John Peter Schreiber
Title
Operations MGR
Phone
(314) 497-9311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054018839 IL Primary

Addresses

Primary practice location

324 W Broadway
Steeleville, IL 62288-1407

Mailing address

324 W Broadway
Steeleville, IL 62288-1407
Phone (618) 965-3511

Other identifiers 1

IdentifierTypeStateIssuer
054021123OtherILPL

Other names 1

  • Tony's Medicenter Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191009001500 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3678804481 Practice locations: Steeleville, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

204 S Washington St
Du Quoin, IL 62832
Phone (618) 542-2575

324 W Broadway
Steeleville, IL 62288
Phone (618) 965-3511

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1922112994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W BROADWAY",
            "city": "STEELEVILLE",
            "state": "IL",
            "postal_code": "622881407",
            "telephone_number": "618-965-3511",
            "fax_number": "618-965-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W BROADWAY",
            "city": "STEELEVILLE",
            "state": "IL",
            "postal_code": "622881407",
            "telephone_number": "618-965-3511",
            "fax_number": "618-965-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&S PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-04-20",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "314-497-9311"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PL",
            "identifier": "054021123",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tony's Medicenter Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tony's Medicenter Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Steeleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.