PAMIDA STORES OPERATING CO LLC (NPI# 1023292265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023292265 |
| Entity Type | Organization |
| Organization Name | PAMIDA STORES OPERATING CO LLC |
| Other Organization Name | PAMIDA PHARMACY #683 |
| Practice Address |
116 N Main White Hall IL 62092 |
| Practice Telephone | 2173746712 |
| Practice Fax Number | 2173746405 |
| Mailing Telephone | 2173746712 |
| Mailing Fax Number | 2173746405 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2010-10-01 |
| Authorized Official Name | MR. JOHN HARLOW (CEO/PRESIDENT) |
| Authorized Official Telephone | 4025967206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Pamida Pharmacy #683 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932353158 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 998 Us Hwy 93 North, Eureka, MT 59917-9550 | 2008-11-14 |
| 1750562195 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 113 West 3rd St, Beardstown, IL 62618 | 2007-11-14 |
| 1821033663 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1012 Jeffreys Dr, Osceola, IA 50213-9500 | 2006-06-17 |
| 1407800634 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1011 E Spruce St, Abbotsford, WI 54405-9647 | 2006-05-20 |
| 1588618706 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 340 Highway 65 S, Mora, MN 55051-1619 | 2006-05-20 |
| 1164476396 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 801 Jefferson St N, Wadena, MN 56482-2334 | 2006-05-20 |
| 1487608600 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 520 E Highway 12 Ste 110, Litchfield, MN 55355-2449 | 2006-05-20 |
| 1497709281 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 900 1st Ave W, Columbia Falls, MT 59912-4025 | 2006-05-19 |
| 1992758858 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 200 Paul Bunyan Dr S, Bemidji, MN 56601-3241 | 2006-05-19 |
| 1003869272 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 705 Northland Dr, Princeton, MN 55371-2168 | 2006-05-18 |
| Street Address |
116 N MAIN |
| City | WHITE HALL |
| State | IL |
| Zip Code | 62092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619302510 | Netherine Lann Valencia Agsalda | Physical Therapist | 620 W Bridgeport St., White Hall Nursing and Rehab, White Hall, IL 62092 | 2013-09-10 |
| 1023183431 | White Hall Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2006-11-21 |
| 1043731540 | Vidit Atul Phanse | Physical Therapist | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2017-07-05 |
| 1194113514 | Brenn Killion | Specialist | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2015-01-07 |
| 1619386430 | Amy Lynn Heitzig | Physical Therapy Assistant | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2014-08-06 |
| 1518024009 | Sherdel Janssen | Registered Nurse | 505 S Main St, White Hall, IL 62092-1002 | 2007-01-03 |
| 1366535304 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 116a N Main St, White Hall, IL 62092-1054 | 2006-10-02 |
| 1003416546 | Jeremy Elliott | Nurse Practitioner | 116a N Main St, White Hall, IL 62092-1054 | 2020-10-26 |
| 1295078137 | Pharmacy Plus, Inc. | Pharmacy | 116 N Main St, White Hall, IL 62092-1054 | 2013-03-28 |
| 1760767743 | Jason Campbell | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2011-10-20 |
| Find all providers in zip 62092 | ||||
| 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 |
|---|---|---|---|---|
| 1649740739 | Daily Dose Drugstore, Inc. | Pharmacy | 103 Timber Ln, White Hall, AR 71602-3331 | 2018-11-30 |
| 1962636829 | Whitehall Pharmacy LLC | Pharmacy | 1600 W Holland Ave Ste 101a, White Hall, AR 71602-9636 | 2009-05-07 |
| 1295078137 | Pharmacy Plus, Inc. | Pharmacy | 116 N Main St, White Hall, IL 62092-1054 | 2013-03-28 |
| 1447300926 | City Drug Inc. | Pharmacy | 116 N Main St, White Hall, IL 62092-1054 | 2007-01-10 |
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| 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 | WHITE HALL |
| Zip Code | 62092 |
Please comment or provide details below to improve the information on PAMIDA STORES OPERATING CO LLC.
| 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.