PRINCEVILLE PHARMACY LLC (NPI# 1750455127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750455127 |
| Entity Type | Organization |
| Organization Name | PRINCEVILLE PHARMACY LLC |
| Other Organization Name | PRINCEVILLE PHARMACY |
| Practice Address |
206 E Main St Princeville IL 61559-7516 |
| Mailing Address |
Po Box 566 Princeville IL 61559-0566 |
| Practice Telephone | 3093854955 |
| Practice Fax Number | 3093851561 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-08-30 |
| Authorized Official Name | CURTIS SHERMAN (RPH) |
| Authorized Official Telephone | 3094463292 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054014436 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1426471 | 01 |
| Other Name | Type Code |
|---|---|
| PRINCEVILLE PHARMACY | Doing Business As Name - Organization |
| Street Address |
206 E MAIN ST |
| City | PRINCEVILLE |
| State | IL |
| Zip Code | 61559-7516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972924751 | Dana Mareachen | Speech-Language Pathologist | 302 North Town Avenue, Princeville, IL 61559 | 2013-12-23 |
| 1942528310 | Methodist Medical Center of Illinois | Clinic/Center | 223 E Main St, Princeville, IL 61559 | 2010-05-11 |
| 1407030448 | Akron Princeville Ambulance Inc | Ambulance | 319 E Main Street, Princeville, IL 61559-0021 | 2007-12-27 |
| 1841808821 | Community Health Partnership of Illinois | Clinic/Center | 112 E Main St, Princeville, IL 61559-7510 | 2020-07-16 |
| 1801087051 | Bradley Allen Horack | Chiropractor | 132 E Main St, Princeville, IL 61559-7510 | 2007-08-05 |
| 1215552799 | Robert Joseph Peters | Social Worker | 13226 W Legion Hall Rd, Princeville, IL 61559-9151 | 2020-06-10 |
| 1831384494 | Mark S Holder | Pediatrics | 11607 N Evans Mill Rd, Princeville, IL 61559-9179 | 2007-09-07 |
| 1336767540 | Community Health Partnership of Illinois | Clinic/Center | 223 E Main St, Princeville, IL 61559-9654 | 2020-07-14 |
| 1760958813 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 223 E Main St, Princeville, IL 61559-9654 | 2018-10-16 |
| 1447267711 | Joshua Schupbach | Family Medicine | 223 E Main St, Princeville, IL 61559-9654 | 2006-08-01 |
| Find all providers in zip 61559 | ||||
| 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 |
|---|---|---|---|---|
| 1356835730 | Princeville Pharmacy and Health Emporium LLC | Pharmacy | 4488 Hanalei Plantation Road, Suite 100, Princeville, HI 96722 | 2018-06-19 |
| 1730255837 | Foodland Supermarket Ltd | Pharmacy | 5 4280 Kuhio Hwy, Princeville, HI 96722 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | ||||
| City | PRINCEVILLE |
| Zip Code | 61559 |
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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.