NPIMap

Organization Active NPI

Metzger Drug Store I, Inc

  • Pharmacy
  • Pana, IL
National Provider Identifier
1932299856
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
METZGER DRUG STORE I, INC
Practice address
28 E 2ND St
Pana, IL 62557-1474
Phone
(217) 562-2011
Fax
(217) 562-2411
NPI assigned
Oct 13, 2006
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
John A Metzger, RPHNPI 1851486377
Title
Pharmacist/Owner
Phone
(217) 562-2011

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 054008750 IL
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

28 E 2ND St
Pana, IL 62557-1474

Mailing address

28 E 2ND St
PO Box 318
Pana, IL 62557-1474
Phone (217) 562-2011

National Provider Directory

National Provider Directory
Tax ID family
Metzger Drug Store I Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

28 E 2nd St
Pana, IL 62557
Phone (217) 562-2011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1932299856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E 2ND ST",
            "address_2": "PO BOX 318",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571474",
            "telephone_number": "217-562-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E 2ND ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571474",
            "telephone_number": "217-562-2011",
            "fax_number": "217-562-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METZGER DRUG STORE I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "217-562-2011",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "054008750",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.