MOODY PHARMACY
NPI 1649264722
Pharmacy in Sparta, IL

Q: What is K&s Pharmacies Of Southern Illinois Ltd's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since September 06, 2005

157 W BROADWAY ST, SPARTA, IL 62286(618) 443-2715(618) 443-6218 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Moody Pharmacy NPPES

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

MOODY PHARMACY (NPI 1649264722) is a healthcare organization registered as a pharmacy in Sparta, Illinois and active in the NPI registry since September 2005. The organization lists Seamus N Kloos, Corp Treasurer/pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1649264722

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameK&S PHARMACIES OF SOUTHERN ILLINOIS LTD

Location Address157 W BROADWAY STSparta, IL 62286-1619

Mailing Address157 W Broadway StSparta, IL 62286-1619 · (618) 443-2715 · Fax (618) 443-6218

Phone(618) 443-2715

Fax(618) 443-6218

Organization SubpartNo

Authorized OfficialSeamus N KloosCorp Treasurer/pharmacist In Charge · (618) 443-2715

Enumeration DateSeptember 6, 2005

Last NPPES UpdateOctober 3, 2018

✔ NPI 1649264722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in IL · 054015396

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

157 W BROADWAY ST, Sparta, IL 62286

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Other Names 1

Doing Business AsMoody Pharmacy

Other Identifiers 4

Other054015396IL · State License Number

Medicaid=========001IL

Other1427310Ncpdp Number

Other032008353IL · State Controlled Substane

Other Providers at the Same Location NPPES 4

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

DR. SEAMUS NEAL KLOOS PHARM.D.

Pharmacist

157 W BROADWAY ST
SPARTA, IL 62286

Randolph County (618) 443-2715

DR. AMY LYN KLOOS PHARM.D.

Pharmacist

157 W BROADWAY ST
SPARTA, IL 62286

Randolph County (618) 443-2715

DR. LESLIE JEAN SAUZEK PHARM.D.

Pharmacist

157 W BROADWAY ST
SPARTA, IL 62286

Randolph County (618) 443-2715

DR. JEFFERY MICHAEL SAUZEK PHARM.D.

Pharmacist

157 W BROADWAY ST
SPARTA, IL 62286

Randolph County (618) 443-2715

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 K&s Pharmacies Of Southern Illinois Ltd's NPI number?

The NPI number for K&s Pharmacies Of Southern Illinois Ltd is 1649264722. It was assigned to this organization in the NPPES registry on September 6, 2005. The provider is doing business as Moody Pharmacy.

Where is K&s Pharmacies Of Southern Illinois Ltd located?

K&s Pharmacies Of Southern Illinois Ltd is located at 157 W Broadway St, Sparta, IL 62286. The listed phone number is (618) 443-2715.

What is K&s Pharmacies Of Southern Illinois Ltd's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for K&s Pharmacies Of Southern Illinois Ltd was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.