DIERBERGS MARKETS INC (NPI# 1033209077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033209077 |
| Entity Type | Organization |
| Organization Name | DIERBERGS MARKETS INC |
| Other Organization Name | DIERBERGS EDWARDSVILLE CROSSING PHARMACY |
| Practice Address |
6671 Edwardsville Crossing Drive Edwardsville IL 62025 |
| Mailing Address |
Po Box 1070 Chesterfield MO 63006-1070 |
| Practice Telephone | 6183073817 |
| Practice Fax Number | 6183073816 |
| Mailing Telephone | 6368121470 |
| Mailing Fax Number | 6368121603 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | GREGORY GUENTHER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6368121470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 54015911 | IL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
54015911 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1480071 | 01 |
| Other Name | Type Code |
|---|---|
| DIERBERGS EDWARDSVILLE CROSSING PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710242292 | Dierbergs Markets Inc | Pharmacy | 1080 Lindemann Rd, Des Peres, MO 63131-4526 | 2012-07-10 |
| 1417121385 | Dierbergs Markets Inc | Pharmacy | 860 Arnold Commons Dr, Arnold, MO 63010-2164 | 2008-04-22 |
| 1851481899 | Dierbergs Markets Inc | Pharmacy | 7233 Watson Rd, Saint Louis, MO 63119-4401 | 2006-10-13 |
| 1942390984 | Dierbergs Markets Inc | Pharmacy | 11481 Olive Street Road, St Louis, MO 63141 | 2006-10-13 |
| 1003906041 | Dierbergs Markets Inc | Pharmacy | 12595 Olive Street Road, St Louis, MO 63141 | 2006-10-13 |
| 1760572705 | Dierbergs Markets Inc | Pharmacy | 1820 Wentzville Parkway, Wentzville, MO 63385 | 2006-10-13 |
| 1447349113 | Dierbergs Markets Inc | Pharmacy | 8450 Eager Rd, Saint Louis, MO 63144-1413 | 2006-10-12 |
| 1265521934 | Dierbergs Markets Inc | Pharmacy | 2460 Taylor Rd, Grover, MO 63040-1222 | 2006-10-12 |
| 1629167390 | Dierbergs Markets Inc | Pharmacy | 2979 Highway K, O Fallon, MO 63368-7862 | 2006-10-12 |
| 1639268303 | Dierbergs Markets Inc | Pharmacy | 2021 Zumbehl Rd, Saint Charles, MO 63303-2723 | 2006-10-12 |
| Street Address |
6671 EDWARDSVILLE CROSSING DRIVE |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1831324342 | Krista Nicole Nelson | Podiatrist | 235 S Main St Ste B, Edwardsville, IL 62025 | 2009-05-28 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| Find all providers in zip 62025 | ||||
| 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 |
|---|---|---|---|---|
| 1821149766 | The Four L's Inc | Pharmacy | 447 S Buchanan St, Edwardsville, IL 62025-2064 | 2007-01-16 |
| 1447265632 | Walgreen Co | Pharmacy | 102 W Vandalia St, Edwardsville, IL 62025-1910 | 2006-07-29 |
| 1538418546 | Stevens-howell Venture LLC | Pharmacy | 447 S Buchanan St, Edwardsville, IL 62025-2064 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
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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.