HAC 4 LLC (NPI# 1265897409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265897409 |
| Entity Type | Organization |
| Organization Name | HAC 4 LLC |
| Other Organization Name | THE MEDICINE SHOPPE PHARMACY |
| Practice Address |
217 S Main St Farmer City IL 61842-1455 |
| Practice Telephone | 3099282491 |
| Practice Fax Number | 3099282493 |
| Mailing Telephone | 3099282491 |
| Mailing Fax Number | 3099282493 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | NORMA HOLTZ (PHARMACY MANAGER) |
| Authorized Official Telephone | 3099282491 |
| 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 |
054019646 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2155868 | 01 |
| Other Name | Type Code |
|---|---|
| The Medicine Shoppe Pharmacy | Doing Business As Name - Organization |
| Street Address |
217 S MAIN ST |
| City | FARMER CITY |
| State | IL |
| Zip Code | 61842-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417088477 | Farmer City Chiropractic Office P.C. | Chiropractor | 2564 E. Hwy 54 West, Farmer City, IL 61842 | 2007-03-08 |
| 1790822344 | Aaron G. Skinner | Chiropractor | 2564e Hwy 54 West, Farmer City, IL 61842-0026 | 2007-01-31 |
| 1235350273 | Blue Ridge Cusd #18 | Local Education Agency (LEA) | 411 N John St, Farmer City, IL 61842-1159 | 2007-05-01 |
| 1457695371 | Bobbi S Kennedy | Social Worker | 515 W Indiana St, Farmer City, IL 61842-1384 | 2012-11-15 |
| 1164964144 | Patricia J Spurlock | Chiropractor | 1401 W Clinton Ave, Farmer City, IL 61842-1392 | 2016-11-08 |
| 1275674640 | Farmer City Ambulance Srvc Inc | Ambulance | 105 S Main Street, Farmer City, IL 61842-1453 | 2007-02-09 |
| 1295763043 | George Ernshaw Castrovillo | Family Medicine | 109 S Main St, Farmer City, IL 61842-1453 | 2006-06-29 |
| 1548436488 | Mimi Marks | Contractor | 120 S Main St, Farmer City, IL 61842-1454 | 2008-04-30 |
| 1164605549 | Terry Lee Craddock | Massage Therapist | 120 S Main St, Farmer City, IL 61842-1454 | 2007-12-09 |
| 1215211545 | Arrow Ambulance, LLC | Ambulance | 216 E Water St, Farmer City, IL 61842-1553 | 2011-10-05 |
| Find all providers in zip 61842 | ||||
| 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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| 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 | ||||
| City | FARMER CITY |
| Zip Code | 61842 |
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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.