WALTER LAGESTEE INCORPORATED (NPI# 1649355694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649355694 |
| Entity Type | Organization |
| Organization Name | WALTER LAGESTEE INCORPORATED |
| Other Organization Name | WALT'S PHARMACY #4 |
| Practice Address |
1100 E Exchange St Crete IL 60417-3433 |
| Practice Telephone | 7086729175 |
| Practice Fax Number | 7086726845 |
| Mailing Telephone | 7086729175 |
| Mailing Fax Number | 7086726845 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-11-16 |
| Authorized Official Name | PATRICK J EGAN (THIRD PARTY COORDINATOR) |
| Authorized Official Telephone | 7089572974 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054-11905 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Walt's Pharmacy #4 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114002136 | Walter Lagestee Incorporated | Pharmacy | 2345 183rd St, Homewood, IL 60430-3140 | 2006-10-26 |
| 1740365782 | Walter Lagestee Incorporated | Pharmacy | 16039 Harlem Ave, Tinley Park, IL 60477-1611 | 2006-10-26 |
| 1568547594 | Walter Lagestee Incorporated | Pharmacy | 16145 S State St, South Holland, IL 60473-1237 | 2006-10-26 |
| 1073698023 | Walter Lagestee Incorporated | Pharmacy | 1218 Sheffield Ave, Dyer, IN 46311-1053 | 2006-10-26 |
| Street Address |
1100 E EXCHANGE ST |
| City | CRETE |
| State | IL |
| Zip Code | 60417-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982759858 | Charles F Wassilak | Pharmacist | 1100 E Exchange St, Crete, IL 60417-3433 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881120046 | Anthony Ray Kudra IIi | Student in an Organized Health Care Education/Training Program | 860 Berkshire Place, Crete, IL 60417 | 2017-05-10 |
| 1326291998 | Jack Christopher Amram | Dentist | 1285 Main Street, Crete, IL 60417 | 2008-10-28 |
| 1619140514 | Healthy Heart Nurse Inc | Skilled Nursing Facility | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1902815418 | Leila Mowers | Social Worker | 1321 Main St, Crete, IL 60417 | 2006-08-05 |
| 1336312230 | Beatrice U Maraizu | Registered Nurse | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1033382932 | Clara C Onyenso | Registered Nurse | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1841417367 | Rachel Oriel Berg | Psychologist | 116 Cornwall Dr, Crete, IL 60417-1006 | 2007-04-18 |
| 1740644517 | Gregory Cannon | Counselor | 250 Arbon Ct, Crete, IL 60417-1121 | 2016-04-07 |
| 1598396517 | Valerie Kay Rodawold | Occupational Therapist | 215 Brenner Ct, Crete, IL 60417-1122 | 2020-01-29 |
| 1225564941 | Renee D Rogers | Counselor | 3660 Beckwith Ln, Crete, IL 60417-1261 | 2017-05-02 |
| Find all providers in zip 60417 | ||||
| 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 |
|---|---|---|---|---|
| 1831283316 | Bkm Inc | Pharmacy | 1302 Linden Ave, Crete, NE 68333-1554 | 2006-10-02 |
| 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.