NEW NO 4 FAMILY PHCY INC (NPI# 1548353980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548353980 |
| Entity Type | Organization |
| Organization Name | NEW NO 4 FAMILY PHCY INC |
| Other Organization Name | FAMILY PHARMACY |
| Practice Address |
405 E Broadway Trenton IL 62293-1663 |
| Practice Telephone | 6182247316 |
| Practice Fax Number | 6182247710 |
| Mailing Telephone | 6182247316 |
| Mailing Fax Number | 6182247710 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | BRENDA RANKIN (MGR) |
| Authorized Official Telephone | 6182247316 |
| 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 |
054004249 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2022495 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY PHARMACY | Doing Business As Name - Organization |
| Street Address |
405 E BROADWAY |
| City | TRENTON |
| State | IL |
| Zip Code | 62293-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902167828 | Nancy Lynn Schubert-henss | Pharmacist | 405 E Broadway, Trenton, IL 62293-1663 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962800060 | Laura Jansen | Nurse Practitioner | 409 E Broadway, Trenton, IL 62293 | 2014-12-05 |
| 1174953988 | Autumn O'reilly | Behavioral Analyst | 320 N Madison St, Trenton, IL 62293-1027 | 2013-11-14 |
| 1023202827 | Medical Nutrition Therapists, LLC | Dietitian, Registered | 510 N Harrison St, Trenton, IL 62293-1070 | 2007-09-05 |
| 1609084532 | Lisa Rae Haselhorst | Dietitian, Registered | 620 N Harrison St, Trenton, IL 62293-1071 | 2007-05-21 |
| 1336344571 | Quality Nutrition Inc. | Dietitian, Registered | 620 N Harrison St, Trenton, IL 62293-1071 | 2007-06-18 |
| 1588632350 | Carri A Haertling | Physical Therapist | 206 W Broadway, Trenton, IL 62293-1110 | 2006-03-09 |
| 1093867814 | Trenton Chiropractic Clinic Ltd | Physical Therapist | 206 W Broadway, Trenton, IL 62293-1110 | 2007-01-18 |
| 1326096553 | Curt A Wesselmann | Chiropractor | 206 W Broadway, Trenton, IL 62293-1110 | 2006-05-04 |
| 1639500671 | Angela K. Klein | Speech-Language Pathologist | 308 N Washington St, Trenton, IL 62293-1244 | 2013-12-02 |
| 1861474405 | Sugar Creek Ambulance Service | Ambulance | 119 W Indiana St, Trenton, IL 62293-1318 | 2005-11-18 |
| Find all providers in zip 62293 | ||||
| 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 |
|---|---|---|---|---|
| 1003479577 | Aml Ibrahim Fawzy | Pharmacy | 2108 S Broad St, Trenton, NJ 08610-5502 | 2019-04-19 |
| 1891277711 | Glendale Village Pharmacy, LLC | Pharmacy | 334 S Broad St, Trenton, NJ 08608-2502 | 2018-09-06 |
| 1215447149 | Ridha Ahmed | Pharmacy | 635 S Clinton Ave Ste 400, Trenton, NJ 08611-1831 | 2017-10-05 |
| 1790140192 | Sg Health | Pharmacy | 503 S Olden Ave, Trenton, NJ 08629-2102 | 2015-12-29 |
| 1619385622 | Zoobeedu, Inc | Pharmacy | 359 Pennington Ave, Trenton, NJ 08618-3615 | 2014-07-23 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1609211689 | Kaplan Group LLC | Pharmacy | 828 N Olden Ave, Trenton, NJ 08638-4902 | 2013-05-06 |
| 1124348305 | Smash Medicine LLC | Pharmacy | 836 Martin Luther King Jr Blvd, Trenton, NJ 08638-4002 | 2010-06-10 |
| 1215163050 | Kaplan Group LLC | Pharmacy | 521 S Broad St, Trenton, NJ 08611-1819 | 2009-06-08 |
| 1962681858 | Saker Shoprites Inc | Pharmacy | 1225 Highway 33, Trenton, NJ 08690-2713 | 2007-10-29 |
| Find all providers in TRENTON | ||||
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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.