| NPI | 1407806607 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-11 |
| Last Updated | 2017-02-20 |
| Authorized Official | Terry Traster OWNER Phone: 2177683832 |
| Mailing Address | 620 N Putnam St Moweaqua, IL 62550-9482 United States Phone: (217) 768-3832 | Fax: (217) 768-3077 📍 View Map |
| Primary Practice Address | 620 N Putnam St Moweaqua, IL 62550-9482 United States Phone: (217) 768-3832 | Fax: (217) 768-3077 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2017582 | PK |
| MEDICAID | IL | =========001 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | IL | 054.014967 |
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About NPI 1407806607
Moweaqua Pharmacy Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1407806607. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Moweaqua, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407806607?
NPI 1407806607 belongs to Moweaqua Pharmacy Pc, a Pharmacy, Community/Retail Pharmacy in Moweaqua, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407806607 active?
The current status of NPI 1407806607 in the NPPES registry is Active. The record was last updated on 2017-02-20.
What specialty is NPI 1407806607?
NPI 1407806607 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1407806607?
You can verify NPI 1407806607 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1407806607?
The primary practice address on file for NPI 1407806607 is 620 N Putnam St, Moweaqua, IL 62550-9482. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407806607 issued?
NPI 1407806607 was first issued (enumerated) on 2006-05-11. The NPPES record was last updated on 2017-02-20.
Practice Location Map
Moweaqua Pharmacy Pc is located at 620 N Putnam St, Moweaqua, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Moweaqua Pharmacy Pc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1407806607. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 054.014967 | IL |