OKAWVILLE PHARMACY (NPI# 1174610026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174610026 |
| Entity Type | Organization |
| Organization Name | OKAWVILLE PHARMACY |
| Other Organization Name | OKAWVILLE PHARMACY |
| Practice Address |
403 N Hanover Okawville IL 62271 |
| Mailing Address |
403 N Hanover P.o. Box 424 Okawville IL 62271 |
| Practice Telephone | 6182436228 |
| Practice Fax Number | 6182435608 |
| Mailing Telephone | 6182436228 |
| Mailing Fax Number | 6282435608 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-06-08 |
| Authorized Official Name | TIM RALLO (PRESIDENT) |
| Authorized Official Telephone | 6182436228 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054011091 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1438680 | 01 | |
| IL | NCPDP | 1485374 | 01 |
| IL | 371134674001 | 05 |
| Other Name | Type Code |
|---|---|
| OKAWVILLE PHARMACY | Doing Business As Name - Organization |
| Street Address |
403 N HANOVER |
| City | OKAWVILLE |
| State | IL |
| Zip Code | 62271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154782530 | Okawville Family Care LLC | Nurse Practitioner | 207 E Belleville, Okawville, IL 62271 | 2016-03-14 |
| 1831430941 | Okawville Family Pharmacy, LLC | Pharmacy | 210 West High Street, Okawville, IL 62271 | 2013-03-14 |
| 1417207861 | Human Service Center | Clinic/Center | 109 West Elm Street, Okawville, IL 62271 | 2012-09-13 |
| 1194086157 | Pc Associates LLC | Family Medicine | 205 East Belleville Street, Okawville, IL 62271 | 2012-06-06 |
| 1184619033 | Crossroads Physician Corporation | Family Medicine | 205 E Belleville, Okawville, IL 62271 | 2005-09-16 |
| 1497302616 | Zachary Yehling | Psychologist | 809 N Franklin St, Okawville, IL 62271-0009 | 2019-08-22 |
| 1407058910 | West Washington Co Cu Dist 10 | Local Education Agency (LEA) | 508 North Front Str, Okawville, IL 62271-0027 | 2007-06-05 |
| 1528330560 | Shannon Catherine Maberry | Chiropractor | 4742 Swan Rd, Okawville, IL 62271-1034 | 2012-02-07 |
| 1497167456 | Brammeier Chiropractic LLC | Chiropractor | 11503 State Route 177, Okawville, IL 62271-1311 | 2014-05-27 |
| 1073819496 | Tmrdlr LLC | Pharmacy | 403 N Hanover St, Okawville, IL 62271-1897 | 2011-02-02 |
| Find all providers in zip 62271 | ||||
| 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 |
|---|---|---|---|---|
| 1831430941 | Okawville Family Pharmacy, LLC | Pharmacy | 210 West High Street, Okawville, IL 62271 | 2013-03-14 |
| 1073819496 | Tmrdlr LLC | Pharmacy | 403 N Hanover St, Okawville, IL 62271-1897 | 2011-02-02 |
| 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 | ||||
Please comment or provide details below to improve the information on OKAWVILLE PHARMACY.
| 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.