PECATONICA PHARMACY INC (NPI# 1649387838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649387838 |
| Entity Type | Organization |
| Organization Name | PECATONICA PHARMACY INC |
| Practice Address |
413 Main Street Pecatonica IL 61063-0550 |
| Mailing Address |
Po Box 550 Pecatonica IL 61063-0550 |
| Practice Telephone | 8152391200 |
| Practice Fax Number | 8152391011 |
| Mailing Telephone | 8152391200 |
| Mailing Fax Number | 8152391011 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LAURA M WIEGERT (PRESIDENT) |
| Authorized Official Telephone | 8152391200 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 363129225001 | 05 |
| Street Address |
413 MAIN STREET |
| City | PECATONICA |
| State | IL |
| Zip Code | 61063-0550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679950216 | Emily Hilton | Homeopath | 3258 S. Pecatonica Rd., Pecatonica, IL 61063 | 2015-05-04 |
| 1114053840 | Andrena Sayles | Chiropractor | 427 N Main St, Pecatonica, IL 61063 | 2007-02-26 |
| 1376504787 | Tiffany N Newcastle | Chiropractor | 427 Main St, Pecatonica, IL 61063 | 2006-03-28 |
| 1417474750 | Sarah Kuperus | Psychologist | Po Box 419, Pecatonica, IL 61063-0419 | 2017-08-28 |
| 1295842482 | Laura M Wiegert | Pharmacist | 413 Main St, Pecatonica, IL 61063-0550 | 2006-08-24 |
| 1962560821 | Martin Gerard Janecke | Dentist | 727 Main St, Pecatonica, IL 61063-0608 | 2006-12-04 |
| 1487689543 | Donald William Sandell | Chiropractor | 319 Main Street, Pecatonica, IL 61063-0809 | 2006-07-11 |
| 1487845616 | Sandell Family Chiropractic Ltd | Chiropractor | 319 Main St., Pecatonica, IL 61063-0809 | 2007-08-05 |
| 1801174610 | Heather Jean Lynde | Physical Therapy Assistant | 129 W 4th St, Pecatonica, IL 61063-7712 | 2011-07-27 |
| 1639576259 | Anne Pospischil | Chiropractor | 427 Main St, Pecatonica, IL 61063-7737 | 2014-11-25 |
| Find all providers in zip 61063 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295842482 | Laura M Wiegert | Pharmacist | 413 Main St, Pecatonica, IL 61063-0550 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | PECATONICA |
| Zip Code | 61063 |
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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.