MT VERNON COMMUNITY PHARMACY (NPI# 1538367461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538367461 |
| Entity Type | Organization |
| Organization Name | MT VERNON COMMUNITY PHARMACY |
| Other Organization Name | EFFINGHAM HOME MEDICAL EQUIPMENT |
| Practice Address |
803 W Fayette Ave Ste B Effingham IL 62401-2415 |
| Mailing Address |
2339 Broadway St Mount Vernon IL 62864-2925 |
| Practice Telephone | 6182428776 |
| Mailing Telephone | 6182428776 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TRACEY ADAMS (GENERAL MANAGER) |
| Authorized Official Telephone | 6182428776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Effingham Home Medical Equipment | Doing Business As Name - Organization |
| Street Address |
803 W FAYETTE AVE STE B |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| 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 |
|---|---|---|---|---|
| 1578915120 | Aaa Mobility Specialists of Illinois, Inc | Durable Medical Equipment & Medical Supplies | 711 W Jefferson Ave, Effingham, IL 62401-2030 | 2016-07-07 |
| 1346578390 | Bonnie Faye Brown | Durable Medical Equipment & Medical Supplies | 7269 Law Road, Effingham, SC 29541 | 2009-12-03 |
| 1235372475 | Mommy & Me Boutique, Inc. | Durable Medical Equipment & Medical Supplies | 314 W Jefferson Ave, Effingham, IL 62401-2352 | 2009-04-17 |
| 1316109721 | Bandys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 410 N Maple St, Effingham, IL 62401-2004 | 2008-06-26 |
| 1578642476 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 700 N Henrietta St, Suite B, Effingham, IL 62401-1720 | 2006-11-03 |
| 1366534448 | Sarah Bush Lincoln Health Management Services | Durable Medical Equipment & Medical Supplies | 903 N Maple, Effingham, IL 62401 | 2006-09-28 |
| 1174620082 | The Thomas Shop | Durable Medical Equipment & Medical Supplies | 200 W Jefferson Ave, Effingham, IL 62401-2346 | 2006-09-20 |
| 1992710180 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1200 W Fayette Ave, Effingham, IL 62401-1913 | 2006-07-29 |
| 1619994977 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 1204 Avenue of Mid America, Effingham, IL 62401-4715 | 2006-07-16 |
| 1639172331 | Joint Active Systems, Inc | Durable Medical Equipment & Medical Supplies | 2600 S Raney St, Effingham, IL 62401-4219 | 2005-05-27 |
| Find all providers in EFFINGHAM | ||||
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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.