NPIMap

Organization Active NPI

Principia Health & Wellness Pharmacy Inc

Doing business as Shields Family Pharmacy

  • Community/Retail Pharmacy
  • Alton, IL
National Provider Identifier
1982001996
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054018838 Issued in IL
Legal business name
PRINCIPIA HEALTH & WELLNESS PHARMACY INC
Doing business as
Shields Family Pharmacy
Practice address
1 Professional Dr Ste 170
Alton, IL 62002-5069
Phone
(618) 463-0000
Fax
(618) 463-0008
NPI assigned
Nov 20, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Seth K Anato, PHARMDNPI 1871900449
Title
President/Pharmacist in Charge
Phone
(314) 517-9035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054018838 IL Primary

Addresses

Primary practice location

1 Professional Dr Ste 170
Alton, IL 62002-5069

Mailing address

1 Professional Dr Ste 170
Alton, IL 62002-5069
Phone (618) 463-0000

Other names 1

  • Shields Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1 Professional Dr
Ste 170
Alton, IL 62002
Phone (618) 463-0000

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": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982001996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL DR STE 170",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025069",
            "telephone_number": "618-463-0000",
            "fax_number": "618-463-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL DR STE 170",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025069",
            "telephone_number": "618-463-0000",
            "fax_number": "618-463-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPIA HEALTH & WELLNESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "ANATO",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "314-517-9035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIELDS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shields Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.