AMERICAN DRUG STORES LLC (NPI# 1114973880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114973880 |
| Entity Type | Organization |
| Organization Name | AMERICAN DRUG STORES LLC |
| Other Organization Name | OSCO DRUG #2488 |
| Practice Address |
655 Main St Nw Bourbonnais IL 60914 |
| Mailing Address |
250 E Parkcenter Blvd Mailstop Sec2-b Boise ID 83706-3940 |
| Practice Telephone | 8159290590 |
| Practice Fax Number | 8159291433 |
| Mailing Telephone | 2083956200 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | DEMOND HAWKINS (THIRD PARTY MANAGER) |
| Authorized Official Telephone | 2083953905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054-008105 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2018129 | 01 |
| Other Name | Type Code |
|---|---|
| OSCO DRUG #2488 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1336603463 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 6014 S Cottage Grove Ave, Chicago, IL 60637-2526 | 2019-01-23 |
| 1184930984 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3630 N Southport Ave, Chicago, IL 60613 | 2010-08-31 |
| 1164694022 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3795 Orchard Rd, Oswego, IL 60543 | 2008-03-31 |
| 1689845075 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 220 W Peace Rd, Sycamore, IL 60178 | 2008-03-13 |
| 1831389204 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2021 E Laraway Rd, New Lenox, IL 60451 | 2007-07-31 |
| 1083828370 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2401 Route 12, Spring Grove, IL 60081 | 2007-05-09 |
| 1821217993 | American Drug Stores LLC | Pharmacy | 800 North Main St, Elburn, IL 60119 | 2007-04-25 |
| 1083776959 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 446 S Washington Ave, Kankakee, IL 60901 | 2006-12-15 |
| 1235179417 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 9650 W 131st St, Palos Park, IL 60464 | 2006-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | American Drug Stores LLC | 250 Parkcenter Blvd, Boise, ID 83706 |
| Oregon Corporations, Companies and Business Names | AMERICAN DRUG STORES LLC | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Massachusetts Corporations | AMERICAN DRUG STORES LLC | 250 Parkcenter Blvd, Boise, ID 83706 |
| North Carolina Corporations | AMERICAN DRUG STORES LLC | 2 South Salisbury Street, Raleigh, NC 27601 |
| Iowa Business Entities | AMERICAN DRUG STORES LLC | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Colorado Business Entities | AMERICAN DRUG STORES LLC | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Vermont Business Registrations | AMERICAN DRUG STORES LLC | 250 Parkcenter Blvd, Boise, ID 83706 |
| Washington State Corporations | AMERICAN DRUG STORES LLC | 250 E Parkcenter Blvd, Boise, ID 83706-3940 |
| Indiana Business Entities | AMERICAN DRUG STORES LLC | 250 Parkcenter Blvd, Boise, ID 83706 |
| Oklahoma Business Registrations | AMERICAN DRUG STORES LLC | Attn: Corp Secretary Dept, Po Box 20, Boise, ID 83726-0020 |
| Street Address |
655 MAIN ST NW |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369302 | Cody A Holler | Pharmacist | 655 Main St Nw, Bourbonnais, IL 60914-2303 | 2020-06-04 |
| 1134573256 | Joseph Scherer | Pharmacist | 655 Main St Nw, Bourbonnais, IL 60914-2303 | 2016-04-14 |
| 1366896508 | Karen Marie Strysik-weinert | Pharmacist | 655 Main St Nw, Bourbonnais, IL 60914-2303 | 2016-04-13 |
| 1154775393 | Lynn Wotell | Pharmacist | 655 Main St Nw, Bourbonnais, IL 60914-2303 | 2016-04-13 |
| 1740649599 | Jennifer Obasohan | Pharmacist | 655 Main St Nw, Bourbonnais, IL 60914-2303 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| 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 |
|---|---|---|---|---|
| 1407042120 | Kroger Limited Partnership I | Pharmacy | 633 Armour Rd, Bourbonnais, IL 60914-2077 | 2007-09-17 |
| 1801432497 | Elizabeth Schiff | Pharmacy | 633 Armour Rd, Bourbonnais, IL 60914-2077 | 2019-11-19 |
| 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 | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
Please comment or provide details below to improve the information on AMERICAN DRUG STORES LLC.
| 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.