Medicate Pharmacy Shoppes Inc
NPI 1598855926ActiveOrganization· Pharmacy· East Saint Louis, IL
Pharmacy in East Saint Louis, Illinois, registered in NPPES in October 2006. The authorized official on file is Lawrence L. Wiseman, PHARMACIST, Owner Pharmacist.
Overview
| NPI | 1598855926 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | BY4765472 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pharmacies in East Saint Louis
- 1174538359