The Pharmacie Shoppe – Community/Retail Pharmacy, NPI 1538166137
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for The Pharmacie Shoppe
2245, West Mound Road, Decatur, Macon County, Illinois, 62526, United States
DECATUR, IL 625269367
Phone: (217) 362-6226
Fax: (217) 362-6241
Type: Mailing
1 STALEY AVE
CASEY, IL 624201458
Phone: (217) 932-4004
Fax: (217) 609-6065
Type: Location
202, West Edgar Avenue, Casey, Clark County, Illinois, 62420, United States
CASEY, IL 624201024
Phone: (217) 932-4004
Fax: (217) 932-2396
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20171208001049 | O | Mass Immunization (Roster Biller Only) | IL | TBD |
| O20180515000653 | O | Pharmacy | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 127 | 126 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 115 | 115 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 71 | 71 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 71 | 71 | $0 |
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 13 | 13 | $0 |
Insurance plans in this area (ZIP 62526)
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