Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Vernon Community Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1417923012

Mt Vernon Community Pharmacy Inc is a Community/Retail Pharmacy in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2339 Broadway St
Mount Vernon, IL 62864-2925
Phone: (618) 242-8776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054016737 (IL)

Record details

NPI number1417923012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Black — Owner · (618) 242-8776
Other names The Medicine Shoppe
NPI enumeratedFebruary 24, 2006
Last updated in NPPESNovember 1, 2011
Mailing address2339 Broadway St, Mount Vernon, IL 62864-2925

Other providers in Mount Vernon