ILLINOIS DEPARTMENT OF HUMAN (NPI# 1255462156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255462156 |
| Entity Type | Organization |
| Organization Name | ILLINOIS DEPARTMENT OF HUMAN |
| Other Organization Name | DHS CENTRAL OUTPATIENT PHARMACY |
| Practice Address |
901 Southwind Dr Springfield IL 62703-5125 |
| Practice Telephone | 2175580965 |
| Practice Fax Number | 2175582532 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-02-11 |
| Authorized Official Name | MARK KATAUSKI (DIR OF PHRM) |
| Authorized Official Telephone | 2177866982 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
054014602 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1480590 | 01 |
| Other Name | Type Code |
|---|---|
| DHS CENTRAL OUTPATIENT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528111424 | Illinois Department of Human | Pharmacy | 100 E Jeffery St, Kankakee, IL 60901-5018 | 2007-01-22 |
| 1457404667 | Illinois Department of Human | Pharmacy | 1401 W Dugdale Rd, Waukegan, IL 60085-6263 | 2007-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ILLINOIS DEPARTMENT OF HUMAN SERVICES | 401 S Clinton St, Chicago, IL 60607-3800 |
| Street Address |
901 SOUTHWIND DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467430124 | Illinois Department of Human Services | Psychiatric Hospital | 901 Southwind Dr, Springfield, IL 62703-5125 | 2006-01-04 |
| 1861613630 | Dhs-mcfarland Mhc-kennedy Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-05-01 |
| 1841417318 | Dhs-a. Mcfarland Mhc-stevenson Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-04-19 |
| 1033249982 | Idhs-mcfarland Mhc-douglas Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-03-07 |
| 1831229798 | Ruth Hibberd-anderson II | Social Worker | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-03-07 |
| 1508996257 | Idhs-mcfarland Mhc-monroe Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-03-06 |
| 1144350802 | Idhs-mcfarland Mhc-jefferson Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-03-06 |
| 1528198280 | Idhs-mcfarland Mhc-lincoln Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-03-06 |
| 1982730255 | Idhs-mcfarland Mhc- Stevenson Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-02-23 |
| 1962537308 | Idhs-mcfarland-kennedy Hall | Psychiatric Unit | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1770953853 | Presence Life Connections | Pharmacy | 670 N Convent St, Bourbonnais, IL 60914-1332 | 2015-10-01 |
| 1417297185 | Total Care Rx, Inc. | Pharmacy | 2480 Delta Ln, Elk Grove Village, IL 60007-6303 | 2013-02-18 |
| 1912242629 | 3 R Healthcare Products Inc | Pharmacy | 535 W Taft Dr, South Holland, IL 60473-2030 | 2012-12-06 |
| 1124379425 | Sdg Inc. | Pharmacy | 2715 Kelly Ln, Highland Park, IL 60035-1656 | 2012-09-26 |
| 1366777492 | Easy Scripts, Inc. | Pharmacy | 5244 N Sheridan Rd, Chicago, IL 60640-2513 | 2009-10-07 |
| 1043484009 | United Pharmacy Services, Inc. | Pharmacy | 5744 W Irving Park Rd, Chicago, IL 60634-3176 | 2008-04-21 |
| 1972721926 | Carthart Pharmacy | Pharmacy | 747 N La Salle Dr, Chicago, IL 60610-3589 | 2007-04-23 |
| 1386861318 | Dawn National Pharmacy | Pharmacy | 4215 Commercial Way Ct, Glenview, IL 60025 | 2007-04-19 |
| 1710021092 | Midwest Operating Engineers Health and Welfare Trust Fund | Pharmacy | 6150 Joliet Rd, Countryside, IL 60525-3956 | 2007-02-19 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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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.