BODE DRUG, INC (NPI# 1093895484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093895484 |
| Entity Type | Organization |
| Organization Name | BODE DRUG, INC |
| Practice Address |
1201 Washington Ave Cairo IL 62914-1808 |
| Practice Telephone | 6187344321 |
| Practice Fax Number | 6187344525 |
| Mailing Telephone | 6187344321 |
| Mailing Fax Number | 6187344525 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. CARL E BODE (PRESIDENT) |
| Authorized Official Telephone | 6187344321 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
54-11999 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NABP | 1446625 | 01 |
| Street Address |
1201 WASHINGTON AVE |
| City | CAIRO |
| State | IL |
| Zip Code | 62914-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093262602 | Tamela Michelle Hughes | Counselor | 1404 Washington Ave., Cairo, IL 62914 | 2016-09-01 |
| 1679029920 | Robin Lynn Lutker | Licensed Practical Nurse | 1401 Wahsington Street, Cairo, IL 62914 | 2016-08-28 |
| 1396780722 | Tanya H. Vargas | Pediatrics | 13245 Kessler Rd, Cairo, IL 62914 | 2006-06-19 |
| 1710979588 | Community Health & Emergency Services, Inc. | Clinic/Center | 13245 Kessler Rd, Cairo, IL 62914 | 2005-08-18 |
| 1932300993 | Cairo School District Number One Alexander Co. | Local Education Agency (LEA) | 303 34th St, Cairo, IL 62914-1104 | 2007-05-29 |
| 1033414800 | Delta Center Inc | Clinic/Center | 417 30th St, Cairo, IL 62914-1344 | 2011-01-25 |
| 1902274889 | Family Counseling Center, Inc. | Community/Behavioral Health | 417 30th St, Cairo, IL 62914-1344 | 2015-09-09 |
| 1366744211 | Delta Center, Inc | Clinic/Center | 421 30th St, Cairo, IL 62914-1344 | 2010-11-29 |
| 1669984399 | Carol Stout | Speech-Language Pathologist | 3101 Elm St, Cairo, IL 62914-1362 | 2017-11-03 |
| 1174825020 | Delta Center, Inc | Clinic/Center | 2107 Pine St, Cairo, IL 62914-1613 | 2010-11-29 |
| Find all providers in zip 62914 | ||||
| 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] |
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|---|---|---|---|---|
| 1568494508 | Freds Stores of Tennessee Inc | Pharmacy | 429 2nd Ave Se, Cairo, GA 39828-2729 | 2006-07-07 |
| 1316081045 | Cox Pharmacy Inc. | Pharmacy | 300 2nd Ave Se, Cairo, GA 39828-2726 | 2007-02-16 |
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| 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.