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THE MEDICINE SHOPPE PHARMACY
NPI 1023363025
Pharmacy - Community/Retail Pharmacy in Jerseyville, IL

Active since July 17, 2012
400A W CARPENTER ST, JERSEYVILLE, IL 62052(618) 498-6461(618) 639-9450 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Medicine Shoppe Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MEDICINE SHOPPE PHARMACY (NPI 1023363025) is a healthcare organization registered as a community/retail pharmacy in Jerseyville, Illinois and active in the NPI registry since July 2012. The organization lists Ethan Vandersand, President, as its authorized official.

NPPES Registry Identity

NPI1023363025
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMALLEX CORPORATION
Location Address400A W CARPENTER STJerseyville, IL 62052-2522
Mailing Address400a W Carpenter StJerseyville, IL 62052-2522 · (618) 498-6461 · Fax (618) 639-9450
Phone(618) 498-6461
Fax(618) 639-9450
Organization SubpartNo
Authorized OfficialEthan VandersandPresident · (618) 498-6461
Enumeration DateJuly 17, 2012
Last NPPES UpdateJuly 5, 2016
✔ NPI 1023363025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IL · 054.018000
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
400A W CARPENTER ST, Jerseyville, IL 62052
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Other Names 1

Doing Business AsThe Medicine Shoppe Pharmacy

Other Identifiers 1

Other2137095Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ETHAN VANDERSAND
Pharmacist
400A W CARPENTER ST
JERSEYVILLE, IL 62052
Jersey County (618) 498-6461
GELSTHORPES INC
Pharmacy (Community/Retail Pharmacy)
400A W CARPENTER ST
JERSEYVILLE, IL 62052
Jersey County (618) 498-6461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallex Corporation's NPI number?

The NPI number for Mallex Corporation is 1023363025. It was assigned to this organization in the NPPES registry on July 17, 2012. The provider is doing business as The Medicine Shoppe Pharmacy.

Where is Mallex Corporation located?

Mallex Corporation is located at 400A W Carpenter St, Jerseyville, IL 62052. The listed phone number is (618) 498-6461.

What is Mallex Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Mallex Corporation accept?

Health plans from Moda Health Plan, Inc. list Mallex Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallex Corporation was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.