SCHOLL PHARMACY INC (NPI# 1770504094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770504094 |
| Entity Type | Organization |
| Organization Name | SCHOLL PHARMACY INC |
| Other Organization Name | FAGEN PHARMACY 17 |
| Practice Address |
4840 W Court St Monee IL 60449-8988 |
| Mailing Address |
Fagen Pharmacy Po Box 9830 Salt Lake City UT 84109-9913 |
| Practice Telephone | 7085343343 |
| Practice Fax Number | 7085341638 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-05-21 |
| Authorized Official Name | CONNIE COFFER (3RD PARTY COORD) |
| Authorized Official Telephone | 2199876468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 54014974 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1475905 | 01 |
| Other Name | Type Code |
|---|---|
| FAGEN PHARMACY 17 | Doing Business As Name - Organization |
| Street Address |
4840 W COURT ST |
| City | MONEE |
| State | IL |
| Zip Code | 60449-8988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447679642 | Esperanza Camacho | Registered Nurse | 25841 Geranium Lane, Monee, IL 60449 | 2014-04-15 |
| 1346277480 | Laura Marie Healy | Nurse Practitioner | 25711 S Egyptian Trl, Monee, IL 60449 | 2006-06-26 |
| 1992731756 | Monee Fire Protection District | Ambulance | 5500 W Main St, Monee, IL 60449 | 2006-06-23 |
| 1952697310 | Will County Health Department | Clinic/Center | 5601 W Monee Manhattan Rd, Suite 107-110, Monee, IL 60449 | 2011-06-23 |
| 1740534098 | Gregory M Brown Dpm PC | Podiatrist | 4550 W Iris Ln, Monee, IL 60449-4401 | 2012-11-07 |
| 1891285102 | Mary Victoria Wessels | Behavior Technician | 25748 S Kensington Ln, Monee, IL 60449-7220 | 2018-05-11 |
| 1174702583 | Jessica Ann Bloom | Specialist | 5617 W Von Ave Unit C, Monee, IL 60449-7917 | 2007-11-01 |
| 1568917318 | Danielle Kowach | Social Worker | 5310 W Court St, Monee, IL 60449-8061 | 2016-08-22 |
| 1538413604 | Renee J Davis | Massage Therapist | 26011 Compass Rd, Monee, IL 60449-8077 | 2012-10-29 |
| 1285967570 | Lara Marie Speroff | Behavioral Analyst | 25915 Derby Dr, Monee, IL 60449-8085 | 2009-09-17 |
| Find all providers in zip 60449 | ||||
| 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] |
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| 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.