ENLOE DRUGS, LLC (NPI# 1265645543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265645543 |
| Entity Type | Organization |
| Organization Name | ENLOE DRUGS, LLC |
| Other Organization Name | ENLOE PCI PRESCRIPTION CENTER - DECATUR DIV V |
| Practice Address |
796 N Sunnyside Rd Decatur IL 62522-1156 |
| Mailing Address |
100 E Rivercenter Blvd Suite 1600 Covington KY 41011-1555 |
| Practice Telephone | 2174288575 |
| Practice Fax Number | 2173629201 |
| Mailing Telephone | 8593923300 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | REGIS ROBBINS (SECRETARY) |
| Authorized Official Telephone | 8593923300 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers | |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
IL | Suppliers | |
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NCPDP | 1464370 | 01 |
| Other Name | Type Code |
|---|---|
| Enloe PCI Prescription Center - Decatur Div V | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033149158 | Enloe Drugs, LLC | Pharmacy | 2305 W Altorfer Dr, Peoria, IL 61615-1809 | 2006-07-04 |
| 1871529560 | Enloe Drugs, LLC | Pharmacy | 796 N Sunnyside Rd, Decatur, IL 62522-1156 | 2006-06-24 |
| 1467665745 | Enloe Drugs, LLC | Durable Medical Equipment & Medical Supplies | 2305 W Altorfer Dr, Peoria, IL 61615-1809 | 2007-05-07 |
| 1356554638 | Enloe Drugs, LLC | Durable Medical Equipment & Medical Supplies | 2307 S Mount Prospect Rd, Des Plaines, IL 60018-1811 | 2007-05-07 |
| 1922040393 | Enloe Drugs, LLC | Pharmacy | 2660 E 53rd St, Suite 1, Davenport, IA 52807-3873 | 2006-06-12 |
| Street Address |
796 N SUNNYSIDE RD |
| City | DECATUR |
| State | IL |
| Zip Code | 62522-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871529560 | Enloe Drugs, LLC | Pharmacy | 796 N Sunnyside Rd, Decatur, IL 62522-1156 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
| 1588808323 | Paul D. Potter, D.d.s., Ltd | Dentist | 280 West North St, Decatur, IL 62522 | 2009-04-23 |
| 1801059100 | Melissa Ann Burnett | Dentist | 301 W North Street, Decatur, IL 62522 | 2008-07-07 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| 1033328349 | Jurgens & Kneezel Ltd | Dentist | 334 W Main Street, Decatur, IL 62522 | 2007-05-22 |
| 1740371905 | Randy Curtis Kneezel | Dentist | 334 W Main, Decatur, IL 62522 | 2006-09-27 |
| 1457373375 | Patricia Elaine Norton | Dentist | 1099 W Wood St, Suite E, Decatur, IL 62522 | 2006-07-24 |
| 1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
| 1417408386 | Heritage Behavioral Health Center | Community/Behavioral Health | 955 N Main St, Decatur, IL 62522 | 2016-10-17 |
| 1467522466 | Alan Russell Jurgens | Dentist | 334 W Main, Decatur, IL 62522 | 2006-11-08 |
| Find all providers in zip 62522 | ||||
| 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. |
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|---|---|---|---|---|
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| 1396241535 | Gre Days Corp | Durable Medical Equipment & Medical Supplies | 3013 Rainbow Dr Ste 124, Decatur, GA 30034-1644 | 2018-04-05 |
| 1144733072 | Legacy Compounding Inc | Durable Medical Equipment & Medical Supplies | 2422 Danville Rd Sw Ste H, Decatur, AL 35603-4221 | 2017-11-14 |
| 1063924397 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 | 2017-10-26 |
| 1689186199 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 484 Irvin Ct Ste 110, Decatur, GA 30030-5406 | 2017-10-25 |
| 1558887497 | Decatur Medical Supplies | Durable Medical Equipment & Medical Supplies | 2107 N Decatur Rd Unit 832, Decatur, GA 30033-5305 | 2017-08-22 |
| 1972027456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4855 Flat Shoals Pkwy, Decatur, GA 30034-5208 | 2017-07-27 |
| 1508304411 | Comfort Medical Supplies | Durable Medical Equipment & Medical Supplies | 5055 Miller Woods Dr, Decatur, GA 30035-3751 | 2017-02-10 |
| 1225493851 | Pain Rehab Equipment | Durable Medical Equipment & Medical Supplies | 220 Ponce De Leon Pl, 172, Decatur, GA 30030-3233 | 2015-12-26 |
| Find all providers in DECATUR | ||||
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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.