PROFESIONAL PHARMACY MANAGERS LLC (NPI# 1508841834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508841834 |
| Entity Type | Organization |
| Organization Name | PROFESIONAL PHARMACY MANAGERS LLC |
| Other Organization Name | GRANVILLE DRUG |
| Practice Address |
314 S Mccoy St Granville IL 61326-9333 |
| Mailing Address |
Po Box 340 Granville IL 61326-0340 |
| Practice Telephone | 8153392286 |
| Practice Fax Number | 8153392288 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | DAVID TYNER (OWNER) |
| Authorized Official Telephone | 8158534342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054017877 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1410567 | 01 |
| Other Name | Type Code |
|---|---|
| GRANVILLE DRUG | Doing Business As Name - Organization |
| Street Address |
314 S MCCOY ST |
| City | GRANVILLE |
| State | IL |
| Zip Code | 61326-9333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477834802 | Toni Marie Lawley | Pharmacist | 314 S Mccoy St, Granville, IL 61326-9333 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286941 | Axline's Inc. | Pharmacy | 324 S. Mccoy Street, Granville, IL 61326 | 2013-11-20 |
| 1538367917 | Yepsen Chiropractic Inc | Chiropractor | 108 South Mccoy Street, Granville, IL 61326 | 2007-07-06 |
| 1447363585 | Shawn E Bailey | Family Medicine | 309 South Mccoy Street, Granville, IL 61326 | 2006-08-15 |
| 1730152299 | Alan Robert Yepsen | Chiropractor | 108 S Mccoy Street, Granville, IL 61326 | 2006-02-07 |
| 1366445025 | Robert Bruce Dawe | Dentist | 100 N Mccoy St, Granville, IL 61326-9329 | 2005-05-24 |
| 1821536368 | Granville Dental, LLC | Dentist | 100 N Mccoy St, Granville, IL 61326-9329 | 2017-02-04 |
| 1104054022 | Evan Deuth Fiedler | Dentist | 100 N Mccoy St, Granville, IL 61326-9329 | 2009-06-30 |
| 1437586096 | Angella Marie Greenwood | Nurse Practitioner | 309 S Mccoy St, Granville, IL 61326-9333 | 2013-09-27 |
| 1518970847 | Damian W Grivetti | Family Medicine | 309 S. Mccoy, Granville, IL 61326-9333 | 2006-08-15 |
| 1497318299 | St. Margaret's Hospital | Clinic/Center | 309 S Mccoy St, Granville, IL 61326-9333 | 2019-04-17 |
| Find all providers in zip 61326 | ||||
| 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 |
|---|---|---|---|---|
| 1407286941 | Axline's Inc. | Pharmacy | 324 S. Mccoy Street, Granville, IL 61326 | 2013-11-20 |
| 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.