MEDICATION MANAGEMENT PARTNERS (NPI# 1740512094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740512094 |
| Entity Type | Organization |
| Organization Name | MEDICATION MANAGEMENT PARTNERS |
| Other Organization Name | MEDICATION MANAGEMENT PARTNERS, LLC |
| Practice Address |
13601 Kenton Ave Crestwood IL 60418-1938 |
| Practice Telephone | 7087528000 |
| Practice Fax Number | 7087528011 |
| Mailing Telephone | 7087528000 |
| Mailing Fax Number | 7087528011 |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | LABINOT AVDIU (CEO/PHARMACIST) |
| Authorized Official Telephone | 7087528000 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
054016830 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2123818 | 01 |
| Other Name | Type Code |
|---|---|
| Medication Management Partners, LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Medication Management Partners LLC | 2213 Brigham Road, Greensboro, NC 27409-9064 |
| Iowa Business Entities | MEDICATION MANAGEMENT PARTNERS, LLC | 13601 Kenton Ave, Crestwood, IL 60418 |
| Colorado Business Entities | Medication Management Partners, LLC | 13601 Kenton Ave, Crestwood, IL 60418 |
| Street Address |
13601 KENTON AVE |
| City | CRESTWOOD |
| State | IL |
| Zip Code | 60418-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598386716 | Tracy J Larsen | Pharmacist | 13601 Kenton Ave, Crestwood, IL 60418-1938 | 2020-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083136477 | Ashley Sage | Behavioral Analyst | 13430 West Circle Drive, Unit 209, Crestwood, IL 60418 | 2017-07-07 |
| 1497847255 | Ebony Nicole Johnson | Family Medicine | 4742 Cal Sag Rd, Crestwood, IL 60418 | 2006-09-29 |
| 1215372404 | Malak Elsheikh | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60418 | 2013-05-02 |
| 1356591549 | Luciano Fochesatto Filho | Internal Medicine | 13755 Cicero Ave, Crestwood, IL 60418 | 2008-09-24 |
| 1538603329 | Megan Kateri Valesey | Behavioral Analyst | 12745 Central Ave, Crestwood, IL 60418-1130 | 2016-12-13 |
| 1720581143 | Manjhoni Edmondson | Counselor | 5305 Pleasant Ln, Crestwood, IL 60418-1159 | 2018-03-12 |
| 1194228429 | Illinois Supreme Health Organization | Community/Behavioral Health | 5305 Pleasant Ln, Crestwood, IL 60418-1159 | 2018-03-13 |
| 1962974782 | Chloe Haberkorn | Optometrist | 5247 131st St, Crestwood, IL 60418-1255 | 2018-12-18 |
| 1265060396 | Kaitlin Marie Featherstone | Student in an Organized Health Care Education/Training Program | 13217 E Playfield Dr, Crestwood, IL 60418-1303 | 2020-04-01 |
| 1982256632 | Laureate Crestwood Operations LLC | Skilled Nursing Facility | 13301 Central Ave, Crestwood, IL 60418-1370 | 2019-07-12 |
| Find all providers in zip 60418 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1912512989 | Millenium Pharmacy Ltd | Pharmacy | 10604 Southwest Hwy Ste 102, Chicago Ridge, IL 60415-2704 | 2020-09-15 |
| 1992265235 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S 1st Street, Alpha, IL 61413 | 2019-03-22 |
| 1750841342 | Illini Clinic Pharmacy Inc | Pharmacy | 855 Illini Dr Ste 200, Silvis, IL 61282-2904 | 2019-03-21 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1538672449 | Wear Ltc | Pharmacy | 527 N Madison St Ste B, Carthage, IL 62321-1034 | 2017-11-14 |
| 1124546031 | Symbria Rx Services, LLC. | Pharmacy | 3200 Grant St Rm 41, Evanston, IL 60201-1903 | 2017-08-31 |
| 1699146720 | Pharmblue Illinois LLC | Pharmacy | 2960 Chartres St Ste 100, La Salle, IL 61301-1097 | 2015-10-15 |
| 1194144691 | Lifemed Illinois, LLC | Pharmacy | 881 Il Route 83, Bensenville, IL 60106-1219 | 2014-04-11 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDICATION MANAGEMENT PARTNERS.
| 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.