NAUVOO PHARMACY (NPI# 1205078847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205078847 |
| Entity Type | Organization |
| Organization Name | NAUVOO PHARMACY |
| Practice Address |
1350 Mulholland St Nauvoo IL 62354-1010 |
| Mailing Address |
Po Box 248 Nauvoo IL 62354-0248 |
| Practice Telephone | 2174532717 |
| Practice Fax Number | 2174536456 |
| Mailing Telephone | 2174532717 |
| Mailing Fax Number | 2174536636 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |
| Authorized Official Name | LUANN HAAS (PHARMACIST/OWNER) |
| Authorized Official Telephone | 2174532717 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 054007478 | IL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054007478 | IL | Suppliers |
| Street Address |
1350 MULHOLLAND ST |
| City | NAUVOO |
| State | IL |
| Zip Code | 62354-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821272618 | Nauvoo Fire Protection District | Ambulance | 2015 Mulholland St, Nauvoo, IL 62354 | 2007-12-28 |
| 1295737237 | Gregory A Miller | Obstetrics & Gynecology | 975 Young St, Nauvoo, IL 62354 | 2005-08-10 |
| 1740208784 | Luann Haas | Pharmacist | 1350 Mulholland, Nauvoo, IL 62354-0248 | 2006-07-18 |
| 1598968786 | Nauvoo Colusa Cus Dist 325 | Local Education Agency (LEA) | 2461 N County Rd 1000, Nauvoo, IL 62354-0308 | 2007-06-06 |
| 1851645113 | David E. Morgan | Chiropractor | 1390 Mulholland St, Nauvoo, IL 62354-1010 | 2012-11-07 |
| 1891972451 | Memorial Hospital Association | Clinic/Center | 1370 Mulholland St, Nauvoo, IL 62354-1010 | 2008-01-25 |
| 1912175506 | Anthony William Wasielewski | Nurse Practitioner | 1370 Mulholland St, Nauvoo, IL 62354-1010 | 2008-02-15 |
| 1699291815 | Mary Ann Siegworth | Speech-Language Pathologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2017-08-18 |
| 1164035846 | Deanne A Brooks | Psychologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2020-08-24 |
| 1710492731 | Julie Herbstrith | Psychologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2017-12-13 |
| Find all providers in zip 62354 | ||||
| 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 |
|---|---|---|---|---|
| 1124493747 | Capstone Pharmacy | Pharmacy | 156 3rd Avenue, Nauvoo, AL 35578 | 2015-12-08 |
| 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 | ||||
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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.