K&S PHARMACIES OF SOUTHERN ILLINOIS LTD (NPI# 1649264722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649264722 |
| Entity Type | Organization |
| Organization Name | K&S PHARMACIES OF SOUTHERN ILLINOIS LTD |
| Other Organization Name | MOODY PHARMACY |
| Practice Address |
157 W Broadway St Sparta IL 62286-1619 |
| Practice Telephone | 6184432715 |
| Practice Fax Number | 6184436218 |
| Mailing Telephone | 6184432715 |
| Mailing Fax Number | 6184436218 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | DR. SEAMUS N KLOOS (CORP TREASURER/PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 6184432715 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 054015396 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE CONTROLLED SUBSTANE | 032008353 | 01 |
| NCPDP NUMBER | 1427310 | 01 | |
| IL | STATE LICENSE NUMBER | 054015396 | 01 |
| Other Name | Type Code |
|---|---|
| Moody Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558433243 | K&s Pharmacies of Southern Illinois Ltd | Pharmacy | 109 E Broadway St, Sparta, IL 62286-1678 | 2006-11-15 |
| Street Address |
157 W BROADWAY ST |
| City | SPARTA |
| State | IL |
| Zip Code | 62286-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689798324 | Jeffery Michael Sauzek | Pharmacist | 157 W Broadway St, Sparta, IL 62286-1619 | 2007-03-19 |
| 1174647887 | Seamus Neal Kloos | Pharmacist | 157 W Broadway St, Sparta, IL 62286-1619 | 2007-03-19 |
| 1588788202 | Leslie Jean Sauzek | Pharmacist | 157 W Broadway St, Sparta, IL 62286-1619 | 2007-03-19 |
| 1184748782 | Amy Lyn Kloos | Pharmacist | 157 W Broadway St, Sparta, IL 62286-1619 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| Find all providers in zip 62286 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205280807 | Sparta Apothecary Inc | Pharmacy | 285 W Turn Table Rd Ste B, Sparta, TN 38583-1366 | 2016-04-20 |
| 1558433243 | K&s Pharmacies of Southern Illinois Ltd | Pharmacy | 109 E Broadway St, Sparta, IL 62286-1678 | 2006-11-15 |
| 1710099734 | Websters Pharmacy Inc | Pharmacy | 12707 Broad St, Sparta, GA 31087-1734 | 2006-08-31 |
| 1659481349 | Kerr Drug Inc | Pharmacy | 454 S Main St, Sparta, NC 28675-9606 | 2006-08-30 |
| 1417989443 | Freds Stores of Tennessee Inc | Pharmacy | 159 W Turn Table Rd, Sparta, TN 38583-1366 | 2006-07-07 |
| 1659335172 | Home Town Pharmacy Inc | Pharmacy | 133 E Division, Sparta, MI 49345 | 2006-04-13 |
| 1023094802 | Sabra C Rinio | Pharmacy | 425 N Spring St, Sparta, TN 38583-1323 | 2005-12-22 |
| 1336124502 | Vipal Inc. | Pharmacy | 4 Main St, Sparta, NJ 07871-1900 | 2005-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702549 | Aster Pharmacy LLC | Pharmacy | 9213 Waukegan Rd, Morton Grove, IL 60053-2102 | 2020-05-27 |
| 1568083301 | Pointcore, Inc. | Pharmacy | 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 | 2020-05-04 |
| 1336768001 | Mhg Pharmacy Services, LLC | Pharmacy | 2923 N California Ave Ste 240, Chicago, IL 60618-7702 | 2020-04-13 |
| 1184258824 | Metropolitian Austin Outpatient Pharmacy LLC | Pharmacy | 645 S Central Ave Ste 1, Chicago, IL 60644-5059 | 2020-03-02 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1720624521 | Affinity Pharmacy Care LLC | Pharmacy | 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 | 2019-11-27 |
| 1104462126 | Loyola University Medical Center | Pharmacy | 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 | 2019-11-25 |
| 1346886512 | Value Plus Pharmacy LLC | Pharmacy | 457 W Liberty St, Wauconda, IL 60084-2452 | 2019-11-22 |
| 1841833100 | April M Bailey | Pharmacy | 1019 Oakcrest Dr, Rantoul, IL 61866-1118 | 2019-10-18 |
| 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.