Provider Demographics
NPI:1407846413
Name:N.M.S. DRUGS, INC.
Entity Type:Organization
Organization Name:N.M.S. DRUGS, INC.
Other - Org Name:THE MEDICINE SHOPPE #1142
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:708-456-6455
Mailing Address - Street 1:8350 W LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:NORRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60706-3152
Mailing Address - Country:US
Mailing Address - Phone:708-456-6455
Mailing Address - Fax:708-456-1859
Practice Address - Street 1:8350 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-3152
Practice Address - Country:US
Practice Address - Phone:708-456-6455
Practice Address - Fax:708-456-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
IL333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1460815OtherNCPDP NO.
IL=========001Medicaid
IL=========001Medicaid