OrganizationActive
Mt Vernon Community Pharmacy Inc
NPI 1811543648 · Long Term Care Pharmacy · Mount Vernon, IL
Mt Vernon Community Pharmacy Inc is a Long Term Care Pharmacy organization in Mount Vernon, IL (NPI 1811543648).
Provider details
- NPI number
- 1811543648
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Mt Vernon Community Pharmacy Inc
- Organization subpart
- Yes
- Authorized official
- Tracey Adams, General Manager(618) 242-8776
Specialties & taxonomies
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2339 Broadway St
Mount Vernon, IL 62864-2925
Phone: (618) 242-8776
Fax: (618) 244-9475
Street-level locationGet directions
Mailing address
2339 Broadway St
Mount Vernon, IL 62864-2925
Other names (DBA / former)
- Doing business as
- The Medicine Shoppe
Registry dates
- Enumerated
- 2019-08-16
- Last updated
- 2019-08-16
Frequently asked questions
- What is Mt Vernon Community Pharmacy Inc's NPI number?
- Mt Vernon Community Pharmacy Inc's National Provider Identifier (NPI) is 1811543648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt Vernon Community Pharmacy Inc?
- Mt Vernon Community Pharmacy Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Mt Vernon Community Pharmacy Inc located?
- Mt Vernon Community Pharmacy Inc's practice location on file with NPPES is 2339 Broadway St, Mount Vernon, IL 62864-2925.
- What is Mt Vernon Community Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Mt Vernon Community Pharmacy Inc is (618) 242-8776.
- Who is the authorized official for Mt Vernon Community Pharmacy Inc?
- The authorized official listed on Mt Vernon Community Pharmacy Inc's NPPES record is Tracey Adams, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt Vernon Community Pharmacy Inc's NPI active?
- Yes — Mt Vernon Community Pharmacy Inc's NPI (1811543648) is active in the NPPES registry as of the last update on 2019-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.