Principia Health & Wellness Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054018838 Issued in IL

Legal business name

PRINCIPIA HEALTH & WELLNESS PHARMACY INC

Practice address

1 Professional Dr Ste 170
Alton, IL 62002-5069

Phone

(618) 463-0000

Fax

(618) 463-0008

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Seth K Anato, PHARMD

Title

President/Pharmacist in Charge

Phone

(314) 517-9035

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shields Family Pharmacy Doing business as

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148900",
            "state": null
        }
    ],
    "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"
        }
    ]
}

• Practical Rehab Services, LTD.
• Timothy Joseph Pranger, D.M.D.
• Carla Price Lybarger
• Carmen Price, MA
• Casey Price, MA
• Private Home Care of Illinois LLC
• Prorehab, PC
• Ashley Provaznik, BSED
• Jennifer Pullam
• Brandy Purcell, BSN

• Community/Retail Pharmacy in Alton, IL
• Providers in Alton, IL by specialty
• Community/Retail Pharmacy in Illinois

• 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.