SCHNUCK MARKETS INC


Address: 3150 N Rockton Ave, Rockford, IL 61103-2837
Phone: 8159655739

SCHNUCK MARKETS INC (NPI# 1487680906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487680906
Entity Type Organization
Organization Name SCHNUCK MARKETS INC
Other Organization Name SCHNUCKS PHARMACY
Practice Address 3150 N Rockton Ave
Rockford
IL 61103-2837
Mailing Address 11420 Lackland Rd
Saint Louis
MO 63146-3559
Practice Telephone 8159655739
Practice Fax Number 8159658127
Enumeration Date 2006-06-25
Last Update Date 2008-04-20
Authorized Official Name LISA HERZWURM (MGR 3RD PARTY CLAIMS)
Authorized Official Telephone 3149944902
Is Organization Subpart Y
Parent Organization Name SCHNUCK MARKETS INC
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies 54014397 IL Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
N 333600000X Pharmacy IL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 1473139 01

Other Provider/Organization Names

Other Name Type Code
SCHNUCKS PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487139234 Schnuck Markets Inc Registered Nurse 100 Jungermann Rd, Saint Peters, MO 63376-1608 2018-09-27
1447735295 Schnuck Markets Inc Registered Nurse 1421 Mexico Loop Rd E, O Fallon, MO 63366-6017 2018-09-27
1154800241 Schnuck Markets Inc Registered Nurse 11550 Page Service Dr Ste 101a, Saint Louis, MO 63146-3531 2018-08-09
1497266472 Schnuck Markets Inc Pharmacy 19 S Kingshighway St Ste B, Cape Girardeau, MO 63703-5742 2017-10-18
1497920375 Schnuck Markets Inc Pharmacy 11420 Lackland Rd, Saint Louis, MO 63146-3559 2008-04-23
1093743189 Schnuck Markets Inc Pharmacy 10148 W Florissant Ave, Saint Louis, MO 63136-2104 2006-06-29
1093741340 Schnuck Markets Inc Durable Medical Equipment & Medical Supplies 2511 State St, East Saint Louis, IL 62205-2322 2006-06-25
1801822150 Schnuck Markets Inc Durable Medical Equipment & Medical Supplies 945 Goodman Rd E, Southaven, MS 38671-9535 2006-06-25
1700812054 Schnuck Markets Inc Pharmacy 4127 N Grand Blvd, Saint Louis, MO 63107-1847 2006-06-25
1811923162 Schnuck Markets Inc Durable Medical Equipment & Medical Supplies 110 Carlyle Plaza Dr, Belleville, IL 62221-6678 2006-06-25

Office Location

Street Address 3150 N ROCKTON AVE
City ROCKFORD
State IL
Zip Code 61103-2837

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144790791 Javon Bea Hospital Pharmacy 8201 E Riverside Blvd Ste 1022, Rockford, IL 61114-2300 2018-11-27
1265929749 Pointcore, Inc. Pharmacy 5666 E State St Ste 101, Rockford, IL 61108-2425 2018-04-19
1831558618 Walgreen Co Pharmacy 1100 Broadway Ste 102, Rockford, IL 61104-1429 2016-02-22
1285025346 Hodels-rubens Pharmacy Pharmacy 1029 S Main St, Rockford, IL 61101-1417 2015-02-11
1932116969 Walgreen Co Pharmacy 2323 Charles St, Rockford, IL 61104-1550 2006-08-02
1699780841 Walgreen Co Pharmacy 3803 Auburn St, Rockford, IL 61101-2501 2006-07-29
1235144403 Walgreen Co Pharmacy 2525 S Alpine Rd, Rockford, IL 61108-7812 2006-07-29
1952344335 Highland Park Cvs LLC Pharmacy 2454 S Alpine Rd, Rockford, IL 61108-7882 2006-06-14
1366483232 Highland Park Cvs LLC Pharmacy 3134 11th St, Rockford, IL 61109-2273 2006-06-09
1548201411 Highland Park Cvs LLC Pharmacy 3718 N Main St, Rockford, IL 61103-1612 2006-06-09
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61103

Improve Information

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Dataset Information

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.

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