HARDIN COUNTY PHARMACY LLC (NPI# 1396243317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396243317 |
| Entity Type | Organization |
| Organization Name | HARDIN COUNTY PHARMACY LLC |
| Practice Address |
226 S Adams St Golconda IL 62938-1109 |
| Mailing Address |
7 Ferrell Rd Rosiclare IL 62982-1006 |
| Practice Telephone | 6186838253 |
| Practice Fax Number | 6186838239 |
| Mailing Telephone | 6182856618 |
| Mailing Fax Number | 6182853147 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | AMANDA ETIENNE (OWNER/PIC/AO) |
| Authorized Official Telephone | 6182856618 |
| 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 |
054020682 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2175582 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740717719 | Hardin County Pharmacy LLC | Pharmacy | 7 Ferrell Rd, Rosiclare, IL 62982-1006 | 2017-05-22 |
| Street Address |
226 S ADAMS ST |
| City | GOLCONDA |
| State | IL |
| Zip Code | 62938-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487788261 | Pope County Care Home Inc | Durable Medical Equipment & Medical Supplies | 216 E Rosalie Street, Golconda, IL 62938 | 2007-03-15 |
| 1316086788 | W Christine Davis | Nurse Practitioner | 217 S Adams St, Golconda, IL 62938 | 2007-02-05 |
| 1487716460 | Jane James | Counselor | 125 N Market, Golconda, IL 62938 | 2006-12-15 |
| 1538114608 | Family Counseling Center, Inc. | Private Vehicle | 125 North Market Street, Golconda, IL 62938 | 2006-05-24 |
| 1275525735 | Community Health & Emergency Services, Inc. | Clinic/Center | One North Monroe, Golconda, IL 62938 | 2005-08-19 |
| 1184623332 | Pope County Care Home Inc | Nursing Facility/Intermediate Care Facility | 216 E Rosalie, Golconda, IL 62938 | 2005-07-19 |
| 1306093075 | Family Counseling Center, Inc. | Clinic/Center | 125 North Market Street, Golconda, IL 62938 | 2008-08-25 |
| 1417022310 | Bode Drug Inc | Pharmacy | 225 E Main St, Golconda, IL 62938 | 2006-11-24 |
| 1740296219 | Pope County Volunteer Ambulance Service | Ambulance | 407 E Main St, Golconda, IL 62938 | 2006-08-01 |
| 1821548355 | Rachel Jabr | Driver | 115 E Pope St, Apt 6, Golconda, IL 62938-1057 | 2016-10-07 |
| Find all providers in zip 62938 | ||||
| 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 |
|---|---|---|---|---|
| 1417022310 | Bode Drug Inc | Pharmacy | 225 E Main St, Golconda, IL 62938 | 2006-11-24 |
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|---|---|---|---|---|
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| 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.