INDEPENDENCE HOLDING CO LLC (NPI# 1093068553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093068553 |
Entity Type | Organization |
Organization Name | INDEPENDENCE HOLDING CO LLC |
Other Organization Name | COMPLETE CARE PHCY OF CHATHAM |
Practice Address |
101 E Plummer Blvd Chatham IL 62629-8047 |
Practice Telephone | 2174832496 |
Practice Fax Number | 2174835772 |
Mailing Telephone | 2174832496 |
Mailing Fax Number | 2174835772 |
Enumeration Date | 2012-10-22 |
Last Update Date | 2012-10-22 |
Authorized Official Name | JOHN ENDRIS (PHARMACIST) |
Authorized Official Telephone | 2175288096 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.014841 | IL | Suppliers |
Other Name | Type Code |
---|---|
Complete Care Phcy of Chatham | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619213097 | Independence Holding Co LLC | Durable Medical Equipment & Medical Supplies | 14 E Washington St Ste C, Champaign, IL 61820-3677 | 2012-12-12 |
1982957403 | Independence Holding Co LLC | Pharmacy | 201 N 5th St, Springfield, IL 62701-1001 | 2012-10-22 |
1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
1346674280 | Independence Holding Co LLC | Pharmacy | 14 E Washington St Ste C, Champaign, IL 61820-3677 | 2013-08-28 |
Street Address |
101 E PLUMMER BLVD |
City | CHATHAM |
State | IL |
Zip Code | 62629-8047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790758894 | Michael Edwin Sheedy | Family Medicine | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2006-02-09 |
1477026391 | Amy Angeli | Nurse Practitioner | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2019-01-03 |
1093218976 | Samantha Bundy | Social Worker | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2018-03-16 |
1467963348 | Alexis Brumfield | Nurse Practitioner | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2017-10-18 |
1548700396 | Katie Sloman | Nurse Practitioner | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2017-02-27 |
1609310960 | Emily Wiezorek | Nurse Practitioner | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2016-12-06 |
1780045526 | Kendra Lynn Sullivan | Nurse Practitioner | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2016-03-07 |
1861886715 | Kristina Waggoner | Nurse Practitioner | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2015-03-27 |
1992956528 | Family Medical Center of Chatham, LLC | Nurse Practitioner | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2008-10-01 |
1033395629 | Gustavo Mosquera | Family Medicine | 101 E Plummer Blvd, Chatham, IL 62629-8047 | 2008-01-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
1164523775 | Ball Chatham Comm Unit School District 5 | Local Education Agency (LEA) | 201 Mulberry Street, Chatham, IL 62629 | 2006-09-26 |
1962518860 | Jean Corriveau | Dentist | 1209 N. Main St., Chatham, IL 62629 | 2006-08-22 |
1811948201 | Joyner Therapy Services | Clinic/Center | 217 S. Adams, Golconda, IL 62629 | 2006-05-12 |
1174905574 | Sahar Yazdani | Family Medicine | 125 E Plummer Blvd Ste A, Chatham, IL 62629 | 2015-06-22 |
1376706234 | Advance Physical Therapy & Sports Medicine of Chatham LLC | Physical Therapist | 1089 Jason Pl, Chatham, IL 62629 | 2008-07-09 |
1225183890 | Kenneth Wayne Schmidt | Family Medicine | 125 E Plummer Blvd Ste A, Chatham, IL 62629 | 2007-01-24 |
1649496076 | Maurice Eugene Sullivan IIi | Chiropractor | 1209 N Main St, #b, Chatham, IL 62629-0264 | 2007-04-17 |
1891837027 | Sullivan Chiropractic of Chatham, P.C. | Chiropractor | 1209 N. Main St., #b, Chatham, IL 62629-0264 | 2007-02-13 |
1992293096 | Katrina Toran | Counselor | 111 E Walnut St Unit 491, Chatham, IL 62629-0816 | 2018-04-25 |
Find all providers in zip 62629 |
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 |
---|---|---|---|---|
1306164835 | Chatham Family Pharmacy | Pharmacy | 13701 Us Highway 29, Suite H1, Chatham, VA 24531-3611 | 2010-05-07 |
1821138025 | Village Super Market of Nj Lp | Pharmacy | 641 Shunpike Rd/southern Blvd, Southern Blvd, Chatham, NJ 07928-1567 | 2007-02-07 |
1962590554 | Woodfins Pharmacy | Pharmacy | 4 South Main St., Chatham, VA 24531-0070 | 2006-10-10 |
1043302524 | New Jersey Cvs Pharmacy LLC | Pharmacy | 471 Main St Chatham Shopping Ctr, Chatham, NJ 07928 | 2006-09-29 |
1932114048 | Walgreen Co | Pharmacy | 1050 N Main St, Chatham, IL 62629-1078 | 2006-07-29 |
1871030643 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 1053 Jason Pl, Chatham, IL 62629-2018 | 2017-01-31 |
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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 |
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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.