FELKER PHARMACY INC (NPI# 1023154630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023154630 |
| Entity Type | Organization |
| Organization Name | FELKER PHARMACY INC |
| Other Organization Name | CHARLEYS PHARMACY |
| Practice Address |
110 E Mason St Polo IL 61064-1522 |
| Practice Telephone | 8159464073 |
| Practice Fax Number | 8159462763 |
| Mailing Telephone | 8159464073 |
| Mailing Fax Number | 8159462763 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | KIRK PFEIFFER (PIC) |
| Authorized Official Telephone | 8159464073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5413694 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2017268 | 01 |
| Other Name | Type Code |
|---|---|
| CHARLEYS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326202441 | Felker Pharmacy Inc | Pharmacy | 13521 Illinois Rt 76, Poplar Grove, IL 61065 | 2008-07-17 |
| 1730246158 | Felker Pharmacy Inc | Pharmacy | 101 Landmark Dr, Winnebago, IL 61088-7702 | 2007-01-03 |
| 1740346014 | Felker Pharmacy Inc | Pharmacy | 201 N 4th St, Oregon, IL 61061-1418 | 2006-12-29 |
| 1831255108 | Felker Pharmacy Inc | Pharmacy | 100 W Blackhawk Dr, Byron, IL 61010-8612 | 2006-12-29 |
| 1780625640 | Felker Pharmacy Inc | Pharmacy | 301 N Galena Ave, Dixon, IL 61021-2113 | 2006-06-09 |
| Street Address |
110 E MASON ST |
| City | POLO |
| State | IL |
| Zip Code | 61064-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225088172 | Henry Oh | Family Medicine | 711 Division St., Polo, IL 61064 | 2006-05-11 |
| 1669443966 | Debra C Drengenberg | Family Medicine | 1107 S. Division Ave., Ksb Center for Health Services/polo, Polo, IL 61064 | 2006-01-27 |
| 1689024853 | Jeanette M Trotter | Counselor | 115 W Mason St Ste 201, Polo, IL 61064-1501 | 2016-06-17 |
| 1174096028 | Polo Pharmacy, Inc. | Pharmacy | 111 E Mason St, Polo, IL 61064-1521 | 2019-01-03 |
| 1295732360 | Mid Americacare Foundation | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2005-07-05 |
| 1912546847 | Polo Hco LLC | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-12-23 |
| 1275184624 | Karen Sue Williams | Physical Therapy Assistant | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-09-26 |
| 1164083630 | Karina Nehrkorn | Speech-Language Pathologist | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-06-25 |
| 1972093292 | Mubaraka Bootwala | Occupational Therapist | 703 E Buffalo St, Polo, IL 61064-1701 | 2018-05-11 |
| 1770761082 | Polo Hco LLC | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2008-02-08 |
| Find all providers in zip 61064 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096028 | Polo Pharmacy, Inc. | Pharmacy | 111 E Mason St, Polo, IL 61064-1521 | 2019-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.