Organization Active NPI

Medcare Inc

Doing business as MedCare Pharmacy & Home Medical

  • Community/Retail Pharmacy
  • Cairo, IL
National Provider Identifier
1942214341
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054013992 Issued in IL
Legal business name
MEDCARE INC
Doing business as
MedCare Pharmacy & Home Medical
Practice address
1915 Washington Ave
Cairo, IL 62914-1733
Phone
(618) 734-0399
Fax
(618) 734-0459
NPI assigned
Jul 28, 2006
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Frances Sherrill, RPH
Title
President Owner
Phone
(270) 335-3172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 054013992 IL Primary

Addresses

Primary practice location

1915 Washington Ave
Cairo, IL 62914-1733

Mailing address

1915 Washington Ave
Cairo, IL 62914-1733
Phone (618) 734-0399

Other identifiers 2

IdentifierTypeStateIssuer
1165137001MedicaidIL
2022817OtherPK

Other names 1

  • MedCare Pharmacy & Home Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wickliffe Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1915 Washington Ave
Cairo, IL 62914
Phone (618) 734-0399

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1942214341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WASHINGTON AVE",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629141733",
            "telephone_number": "618-734-0399",
            "fax_number": "618-734-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 WASHINGTON AVE",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629141733",
            "telephone_number": "618-734-0399",
            "fax_number": "618-734-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "270-335-3172",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054013992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1165137001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022817",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare Pharmacy & Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cairo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.