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Mt Vernon Community Pharmacy Inc

Community/Retail Pharmacy in Mount Vernon, IL · enumerated 2006 · authorized official Eric Black, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417923012

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Registry record

Entity type Organization (Type 2)
Legal business name Mt Vernon Community Pharmacy Inc
Other name <Unavail>
Practice address 2339 Broadway St, Mount Vernon, IL, 62864
Enumeration date Feb 24, 2006
Last updated in NPPES Nov 1, 2011

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 054016737 (IL) Primary

Authorized official

Name Eric Black
Title Owner

Other identifiers

Identifier Type State Issuer
334555 Other - HEALTHLINK
4132021 Other - BLUE CROSS BLUE SHIELD
1447792 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mt Vernon Community Pharmacy Inc?
The NPI for Mt Vernon Community Pharmacy Inc is 1417923012, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mt Vernon Community Pharmacy Inc?
NPPES lists Eric Black (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-01.