MONTICELLO DRUGS, INC (NPI# 1174558688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174558688 |
Entity Type | Organization |
Organization Name | MONTICELLO DRUGS, INC |
Practice Address |
109 W Main St Monticello IL 61856-1967 |
Practice Telephone | 2177623176 |
Practice Fax Number | 2177622330 |
Mailing Telephone | 2177623176 |
Mailing Fax Number | 2177622330 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2011-04-14 |
Authorized Official Name | MR. MARTIN R WOODRUFF (PHARMACIST IN CHARGE) |
Authorized Official Telephone | 2177623176 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 18710433 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NABP | 1452921 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124168786 | Monticello Drugs, Inc | Pharmacy | 679 W Washington St, Monticello, GA 31064-1371 | 2007-02-06 |
Street Address |
109 W MAIN ST |
City | MONTICELLO |
State | IL |
Zip Code | 61856-1967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538565783 | Jeffrey D. Hanley | Hearing Instrument Specialist | 107 S. State Street, Audibel Hearing Aids, Monticello, IL 61856 | 2014-11-17 |
1073636510 | John Paul Rupkey | Pharmacist | 1212 Bear Lane, Monticello, IL 61856 | 2007-04-09 |
1104959998 | Pediatric Physical Therapy of Central Illinois Ltd | Physical Therapist | 123 W William Street, Monticello, IL 61856 | 2007-03-13 |
1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
1639186315 | Bruce Charles Wintersteen | Dentist | 112 E Wash St, Monticello, IL 61856 | 2006-08-02 |
1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
1922389089 | Anne Katherine Marshall | Physician Assistant | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-09-02 |
1790089548 | Kristine R Donaldson | Social Worker | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-01-07 |
1295814556 | Piatt Co | Skilled Nursing Facility | 1111 N State St, Monticello, IL 61856 | 2006-11-06 |
1811954878 | Brian C Yocks | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856 | 2006-04-26 |
Find all providers in zip 61856 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033427174 | Complete Medical LLC | Durable Medical Equipment & Medical Supplies | 5370 Lake Rd, Monticello, FL 32344-5426 | 2010-09-23 |
1922315423 | Hearing Professionals, Inc | Durable Medical Equipment & Medical Supplies | 538 Walnut St, Monticello, MN 55362-8663 | 2010-09-03 |
1740462084 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 812 W Broadway St, Monticello, IN 47960-2011 | 2007-11-28 |
1275739914 | Heritage Medical Equipment | Durable Medical Equipment & Medical Supplies | 126 E Greene St, Monticello, GA 31064-1008 | 2007-06-21 |
1497962088 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 640 W Gaines St, Monticello, AR 71655-4675 | 2007-05-16 |
1417088592 | Midwest Rehabilitation Supply, LLC | Durable Medical Equipment & Medical Supplies | 8598 Gatewater Dr, Monticello, MN 55362-4557 | 2007-03-08 |
1730219627 | Carle Clinic Association, PC | Durable Medical Equipment & Medical Supplies | 4000 Green Apple Lane, Monticello, IL 61856-1175 | 2007-03-07 |
1144363219 | City Drug of Monticello Inc | Durable Medical Equipment & Medical Supplies | 201 E Gaines St, Monticello, AR 71655-4903 | 2007-02-15 |
1689747206 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 916 N Main St, Monticello, IN 47960-1501 | 2006-11-15 |
1073684213 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 520 W Gaines St, Monticello, AR 71655-4638 | 2006-11-10 |
Find all providers in MONTICELLO |
City | MONTICELLO |
Zip Code | 61856 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.