Organization Active NPI

Medicine Express, LLC

  • Long Term Care Pharmacy
  • Belleville, IL
National Provider Identifier
1932276748
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEDICINE EXPRESS, LLC
Practice address
7650 Magna Dr Ste 130
Belleville, IL 62223-3317
Phone
(618) 515-4035
Fax
(618) 416-7172
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Emily K Powers, PHARM. D.NPI 1952732059
Title
President
Phone
(618) 515-4035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7650 Magna Dr Ste 130
Belleville, IL 62223-3317

Mailing address

7650 Magna Dr Ste 130
Belleville, IL 62223-3317
Phone (618) 515-4035

Other identifiers 1

IdentifierTypeStateIssuer
1477517OtherILNCPDP

Other names 1

  • Medicine Express Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070117000386 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1052312048 1 other NPI on this enrollment
Practice locations: Belleville, IL
O20260430000070 IL Part B Supplier - Pharmacy 1052312048 Practice locations: Belleville, IL

National Provider Directory

National Provider Directory

Locations

7650 Magna Dr
Ste 130
Belleville, IL 62223
Phone (618) 515-4035

5003 N Illinois St
Fairview Hts, IL 62208
Phone (618) 515-4035

1704 N Illinois St
Ste 100
Swansea, IL 62226
Phone (618) 236-1144

1704 N Illinois St
Ste 200
Swansea, IL 62226
Phone (618) 236-1144

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1932276748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 MAGNA DR STE 130",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233317",
            "telephone_number": "618-515-4035",
            "fax_number": "618-416-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 MAGNA DR STE 130",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233317",
            "telephone_number": "618-515-4035",
            "fax_number": "618-416-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE EXPRESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-515-4035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM. D."
    },
    "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": "NCPDP",
            "identifier": "1477517",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Express",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicine Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, 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.
  • 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.