Organization Active NPI

Mt Morris Pharmacy, Inc

Doing business as Mt Morris Pharmacy

  • Community/Retail Pharmacy
  • Mount Morris, IL
National Provider Identifier
1992438519
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MT MORRIS PHARMACY, INC
Doing business as
Mt Morris Pharmacy
Practice address
117 S Wesley Ave
Mount Morris, IL 61054-1450
Phone
(779) 545-0159
NPI assigned
Jul 1, 2022
Last updated
Jul 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Karrie SabinsonNPI 1760079222
Title
Owner
Phone
(815) 745-3700

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

117 S Wesley Ave
Mount Morris, IL 61054-1450

Mailing address

PO Box 626
Warren, IL 61087-0626
Phone (815) 745-3700

Other identifiers 1

IdentifierTypeStateIssuer
054021932OtherILSTATE LICENSE

Other names 1

  • MT MORRIS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

117 S Wesley Ave
Mount Morris, IL 61054
Phone (779) 545-0159

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": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1992438519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "WARREN",
            "state": "IL",
            "postal_code": "610870626",
            "telephone_number": "815-745-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S WESLEY AVE",
            "city": "MOUNT MORRIS",
            "state": "IL",
            "postal_code": "610541450",
            "telephone_number": "779-545-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT MORRIS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "SABINSON",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-745-3700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "054021932",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT MORRIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.