MERCER CTY HOSPITAL (NPI# 1912091745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912091745 |
| Entity Type | Organization |
| Organization Name | MERCER CTY HOSPITAL |
| Other Organization Name | MERCER COUNTY HOSPITAL OUTPATIENT PHARMACY |
| Practice Address |
409 N.w. 9th Ave Outpatient Pharmacy Aledo IL 61231 |
| Practice Telephone | 3095823710 |
| Practice Fax Number | 3095823737 |
| Mailing Telephone | 3095823710 |
| Mailing Fax Number | 3095823737 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | TIM PUTNAM (CEO) |
| Authorized Official Telephone | 3095825301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
093013445 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NCPDP | 1452755 | 01 |
| Other Name | Type Code |
|---|---|
| MERCER COUNTY HOSPITAL OUTPATIENT PHARMACY | Doing Business As Name - Organization |
| Street Address |
409 N.W. 9TH AVE OUTPATIENT PHARMACY |
| City | ALEDO |
| State | IL |
| Zip Code | 61231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205924024 | Mercer County Hospital Pharmacy | Pharmacy | 409 N.w. 9th Ave, Pharmacy, Aledo, IL 61231 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578071551 | Mercer County Family Young Men's Christian Association of Aledo, Illin | Health Educator | 401 Sw 2nd Ave, Aledo, IL 61231 | 2018-01-12 |
| 1952523565 | Mohamed I Rajput | Surgery | 309 Nw 2nd St, Aledo, IL 61231 | 2007-05-03 |
| 1750432324 | Gary Stanford Olson | Dentist | 403 Nw 4th St, Aledo, IL 61231 | 2007-01-12 |
| 1811080492 | Glenda E Foy | Chiropractor | 301 Se Third Street, Aledo, IL 61231 | 2006-10-02 |
| 1902892805 | Kristin A Wurzburger | Internal Medicine | 1007 Nw 3rd Street, Aledo, IL 61231 | 2005-09-26 |
| 1144216185 | Julio A Santiago | Family Medicine | 1007 Nw 3rd St, Aledo, IL 61231 | 2005-09-26 |
| 1205829827 | County of Mercer | Public Health or Welfare | 305 Nw 7th St, Aledo, IL 61231-1072 | 2005-08-30 |
| 1942354915 | Mercer Health Center, S.c. | Family Medicine | 409 Nw 4th St, Aledo, IL 61231-1209 | 2007-01-23 |
| 1124479266 | Thais Meredith | Dentist | 403 Nw 4th St, Aledo, IL 61231-1209 | 2016-06-30 |
| 1982069209 | Galva Family Dentistry, Inc. | Dentist | 403 Nw 4th St, Aledo, IL 61231-1209 | 2015-12-31 |
| Find all providers in zip 61231 | ||||
| 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 |
|---|---|---|---|---|
| 1518039692 | Mcknight Pharmacy | Pharmacy | 109 S College Ave, Aledo, IL 61231-1630 | 2006-11-14 |
| 1003361114 | Genventures, Inc. | Pharmacy | 105 S College Ave, Aledo, IL 61231-1630 | 2016-08-18 |
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|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 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 | ||||
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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.