TYNER PHARMACY INC (NPI# 1255312823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255312823 |
| Entity Type | Organization |
| Organization Name | TYNER PHARMACY INC |
| Practice Address |
120 N Chestnut St Wenona IL 61377-7527 |
| Mailing Address |
Po Box 601 Wenona IL 61377-0601 |
| Practice Telephone | 8158534342 |
| Mailing Telephone | 8158534342 |
| Mailing Fax Number | 8158534342 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID L TYNER (PRESIDENT) |
| Authorized Official Telephone | 8158534342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
120 N CHESTNUT ST |
| City | WENONA |
| State | IL |
| Zip Code | 61377-7527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144336439 | Sharshon Pharmacy Inc | Pharmacy | 120 N Chestnut St, Wenona, IL 61377-7527 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760602254 | Wenona Health Center S C | Pediatrics | 516 S. Chestnut St, Wenona, IL 61377 | 2007-04-26 |
| 1770533648 | Bella Y Baz | Pediatrics | 516 S Chestnut St, Wenona, IL 61377-0250 | 2006-05-11 |
| 1689624470 | Samuel T Baz | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-0250 | 2006-05-11 |
| 1376684738 | Eastern Marshall County Ems | Ambulance | 210 North Chestnut St, Wenona, IL 61377-0708 | 2007-02-09 |
| 1316358187 | Hshs Medical Group Inc | Clinic/Center | 516 S Chestnut St, Wenona, IL 61377-7526 | 2014-05-15 |
| 1699066084 | Jawaria T Suhail | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2011-04-20 |
| 1386671709 | Angela Martinez | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760602254 | Wenona Health Center S C | Pediatrics | 516 S. Chestnut St, Wenona, IL 61377 | 2007-04-26 |
| 1376684738 | Eastern Marshall County Ems | Ambulance | 210 North Chestnut St, Wenona, IL 61377-0708 | 2007-02-09 |
| 1770533648 | Bella Y Baz | Pediatrics | 516 S Chestnut St, Wenona, IL 61377-0250 | 2006-05-11 |
| 1316358187 | Hshs Medical Group Inc | Clinic/Center | 516 S Chestnut St, Wenona, IL 61377-7526 | 2014-05-15 |
| 1699066084 | Jawaria T Suhail | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2011-04-20 |
| 1386671709 | Angela Martinez | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2006-06-28 |
| 1689624470 | Samuel T Baz | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-0250 | 2006-05-11 |
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
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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.