ALTAMONT PHARMACY INC (NPI# 1164472304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164472304 |
Entity Type | Organization |
Organization Name | ALTAMONT PHARMACY INC |
Other Organization Name | ALTAMONT PHARMACY INC |
Practice Address |
12 N 3rd St Altamont IL 62411-1408 |
Practice Telephone | 6184835614 |
Practice Fax Number | 6184833425 |
Mailing Telephone | 6184835614 |
Mailing Fax Number | 6184833425 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2016-08-08 |
Authorized Official Name | DOUG PHILLIPS (PRESIDENT) |
Authorized Official Telephone | 6184835614 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
054008775 | IL | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054008775 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2018826 | 01 |
Other Name | Type Code |
---|---|
ALTAMONT PHARMACY INC | Doing Business As Name - Organization |
Street Address |
12 N 3RD ST |
City | ALTAMONT |
State | IL |
Zip Code | 62411-1408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972823631 | Springfield Clinic LLP | Clinic/Center | 3 Do It Drive, Altamont, IL 62411 | 2010-06-04 |
1356536569 | Allison Rose Schumacher | Dentist | 1 S 3rd St., Altamont, IL 62411 | 2007-09-11 |
1497736268 | Lutheran Care Center | Clinic/Center | 702 W Cumberland Rd, Altamont, IL 62411-1053 | 2005-11-09 |
1790828952 | Christopher James Sehy | Dentist | 1 S 3rd St, Altamont, IL 62411-1101 | 2007-02-15 |
1558545467 | Carla Beck | Early Intervention Provider Agency | 12 S 3rd St, Altamont, IL 62411-1102 | 2007-12-27 |
1336245315 | Altamont Ambulance Service, Inc. | Ambulance | 2 S Main St, Altamont, IL 62411-1134 | 2006-09-16 |
1568449098 | Robert W Frost | Family Medicine | 3 Do It Dr, Altamont, IL 62411-1135 | 2005-12-27 |
1679108351 | Hshs Medical Group Inc | Clinic/Center | 3 Do It Dr, Altamont, IL 62411-1135 | 2020-03-03 |
1366930281 | Springfield Clinic LLP | Clinical Medical Laboratory | 3 Do It Dr, Altamont, IL 62411-1135 | 2018-04-26 |
1609322585 | Tammy L. Sasse | Nurse Practitioner | 3 Do It Dr, Altamont, IL 62411-1135 | 2016-08-30 |
Find all providers in zip 62411 |
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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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.