ILLINI CLINIC PHARMACY INC (NPI# 1992265235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992265235 |
| Entity Type | Organization |
| Organization Name | ILLINI CLINIC PHARMACY INC |
| Practice Address |
211 S 1st Street Alpha IL 61413 |
| Mailing Address |
Po Box 355 Alpha IL 61413-0355 |
| Practice Telephone | 3096294506 |
| Practice Fax Number | 3096292611 |
| Mailing Telephone | 3096294506 |
| Mailing Fax Number | 3096292611 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | DONNA MERIDETH (OWNER/PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 3096294506 |
| Is Organization Subpart | Y |
| Parent Organization Name | ILLINI CLINIC PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Alwood Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1750841342 | Illini Clinic Pharmacy Inc | Pharmacy | 855 Illini Dr Ste 200, Silvis, IL 61282-2904 | 2019-03-21 |
| 1053838458 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S. 1st St, Alpha, IL 61413-0355 | 2017-08-25 |
| 1356561039 | Illini Clinic Pharmacy Inc | Pharmacy | 855 Illini Dr, Suite 200, Silvis, IL 61282-2907 | 2007-04-26 |
| Street Address |
211 S 1ST STREET |
| City | ALPHA |
| State | IL |
| Zip Code | 61413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871540 | Artemio L Cajigal | Family Medicine | 202 Picard Street, Alpha, IL 61413 | 2005-06-16 |
| 1205942083 | Genesis Health System | Family Medicine | 202 Picard Street, Alpha, IL 61413 | 2006-08-22 |
| 1053838458 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S. 1st St, Alpha, IL 61413-0355 | 2017-08-25 |
| 1184759821 | John C Lewis | Pharmacist | 211 1st St S, Alpha, IL 61413-0355 | 2007-02-22 |
| 1164582920 | Lewis Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 211 South 1st Street, Alpha, IL 61413-0355 | 2006-12-11 |
| 1184107559 | Samantha E Janecek | Speech-Language Pathologist | 101 E A St, Alpha, IL 61413-9782 | 2018-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717004 | Douglas Gleason Danford | Private Vehicle | 774 Alpha Rd, Alpha, OH 45301-8009 | 2020-10-13 |
| 1265950067 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 909 West Blvd, Alpha, NJ 08865-4258 | 2017-09-01 |
| 1720529415 | Alternatives Inc. | Community/Behavioral Health | 1507 West Blvd, Alpha, NJ 08865-4645 | 2017-03-14 |
| 1144761180 | Alfa Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 2 Industrial Rd, Ste 3-a, Alpha, NJ 08865-4081 | 2017-03-09 |
| 1063950012 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Pohatcong St, Alpha, NJ 08865-4353 | 2017-02-09 |
| 1992134522 | Bruce Eric Frey | Veterinarian | 334 3rd Ave, Alpha, NJ 08865-4310 | 2013-11-04 |
| 1831466119 | Laura A Skrzenski | Pharmacist | 1596 Third Ave, Alpha, NJ 08865 | 2011-11-30 |
| 1801127618 | Almar Sales Company | Durable Medical Equipment & Medical Supplies | 1167 Third Avenue, Alpha, NJ 08865 | 2010-01-18 |
| 1184889453 | Rosato Family Eye Care LLC | Optometrist | 901 Third Ave, Alpha, NJ 08865-4525 | 2008-07-25 |
| 1710197819 | Maricon Siapno Pepingco | Physical Therapist | 913 7th Ave, Alpha, NJ 08865-4543 | 2007-05-23 |
| Find all providers in ALPHA | ||||
| 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 |
| 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 |
| 1265863468 | Lake of Decatur, Inc | Pharmacy | 845 S Route 51, Unit B, Forsyth, IL 62535-9759 | 2013-12-12 |
| 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.