ILLINI CLINIC PHARMACY INC (NPI# 1053838458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053838458 |
| Entity Type | Organization |
| Organization Name | ILLINI CLINIC PHARMACY INC |
| Other Organization Name | ALWOOD PHARMACY |
| Practice Address |
211 S. 1st St Alpha IL 61413-0355 |
| Mailing Address |
Po Box 355 Alpha IL 61413-0355 |
| Practice Telephone | 3096294506 |
| Practice Fax Number | 3096292611 |
| Mailing Telephone | 3096294506 |
| Mailing Fax Number | 3096292611 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | DONNA MERIDETH (OWNER/PIC) |
| Authorized Official Telephone | 3096294506 |
| 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 |
054020443 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2169798 | 01 |
| Other Name | Type Code |
|---|---|
| Alwood Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1992265235 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S 1st Street, Alpha, IL 61413 | 2019-03-22 |
| 1750841342 | Illini Clinic Pharmacy Inc | Pharmacy | 855 Illini Dr Ste 200, Silvis, IL 61282-2904 | 2019-03-21 |
| 1356561039 | Illini Clinic Pharmacy Inc | Pharmacy | 855 Illini Dr, Suite 200, Silvis, IL 61282-2907 | 2007-04-26 |
| Street Address |
211 S. 1ST ST |
| City | ALPHA |
| State | IL |
| Zip Code | 61413-0355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992265235 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S 1st Street, Alpha, IL 61413 | 2019-03-22 |
| 1609871540 | Artemio L Cajigal | Family Medicine | 202 Picard Street, Alpha, IL 61413 | 2005-06-16 |
| 1205942083 | Genesis Health System | Family Medicine | 202 Picard Street, Alpha, IL 61413 | 2006-08-22 |
| 1184759821 | John C Lewis | Pharmacist | 211 1st St S, Alpha, IL 61413-0355 | 2007-02-22 |
| 1164582920 | Lewis Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 211 South 1st Street, Alpha, IL 61413-0355 | 2006-12-11 |
| 1184107559 | Samantha E Janecek | Speech-Language Pathologist | 101 E A St, Alpha, IL 61413-9782 | 2018-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717004 | Douglas Gleason Danford | Private Vehicle | 774 Alpha Rd, Alpha, OH 45301-8009 | 2020-10-13 |
| 1992265235 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S 1st Street, Alpha, IL 61413 | 2019-03-22 |
| 1184107559 | Samantha E Janecek | Speech-Language Pathologist | 101 E A St, Alpha, IL 61413-9782 | 2018-09-12 |
| 1265950067 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 909 West Blvd, Alpha, NJ 08865-4258 | 2017-09-01 |
| 1720529415 | Alternatives Inc. | Community/Behavioral Health | 1507 West Blvd, Alpha, NJ 08865-4645 | 2017-03-14 |
| 1144761180 | Alfa Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 2 Industrial Rd, Ste 3-a, Alpha, NJ 08865-4081 | 2017-03-09 |
| 1063950012 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Pohatcong St, Alpha, NJ 08865-4353 | 2017-02-09 |
| 1992134522 | Bruce Eric Frey | Veterinarian | 334 3rd Ave, Alpha, NJ 08865-4310 | 2013-11-04 |
| 1831466119 | Laura A Skrzenski | Pharmacist | 1596 Third Ave, Alpha, NJ 08865 | 2011-11-30 |
| 1801127618 | Almar Sales Company | Durable Medical Equipment & Medical Supplies | 1167 Third Avenue, Alpha, NJ 08865 | 2010-01-18 |
| Find all providers in ALPHA | ||||
| 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] |
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| 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.