GLIDDONS DRUG STORE INC (NPI# 1578652251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578652251 |
| Entity Type | Organization |
| Organization Name | GLIDDONS DRUG STORE INC |
| Practice Address |
116 N Main St Elburn IL 60119-9112 |
| Practice Telephone | 6303656500 |
| Practice Fax Number | 6303656522 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH GUSTAGSON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6303656500 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| X | 333600000X | Pharmacy | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1421902 | 01 |
| Street Address |
116 N MAIN ST |
| City | ELBURN |
| State | IL |
| Zip Code | 60119-9112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093192353 | Tessa Mackenzie Lee | Developmental Therapist | 317 North 4th St, Elburn, IL 60119 | 2015-05-06 |
| 1619232154 | Miranda Lyn Middona | Counselor | 913 Kindberg Court, Elburn, IL 60119 | 2012-07-11 |
| 1821217993 | American Drug Stores LLC | Pharmacy | 800 North Main St, Elburn, IL 60119 | 2007-04-25 |
| 1992872840 | Orawin Technology | Clinic/Center | 3n696 Roberts Road, Elburn, IL 60119 | 2006-11-29 |
| 1407927726 | Robert B Davidson | Dentist | 708 N Main St, Elburn, IL 60119 | 2006-11-10 |
| 1598851024 | Kristy Ellen Gibson | Speech-Language Pathologist | 1025 Kendall Street, Elburn, IL 60119 | 2006-10-04 |
| 1568475259 | Kenneth Ervin Baumruck | Chiropractor | 319 S. Main St., Elburn, IL 60119 | 2006-08-14 |
| 1316961691 | Harry F Krauspe | Dentist | 400 North Main St., Elburn, IL 60119 | 2006-07-27 |
| 1619191699 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 800 N Main St, Elburn, IL 60119 | 2007-04-12 |
| 1457370652 | Elburn & Countryside Fire Protection District | Ambulance | 1 S 1st St, Elburn, IL 60119-7000 | 2006-07-19 |
| Find all providers in zip 60119 | ||||
| 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 |
|---|---|---|---|---|
| 1821217993 | American Drug Stores LLC | Pharmacy | 800 North Main St, Elburn, IL 60119 | 2007-04-25 |
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|---|---|---|---|---|
| 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 | ||||
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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.