AMERICAN DRUG STORES LLC (NPI# 1730136276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730136276 |
| Entity Type | Organization |
| Organization Name | AMERICAN DRUG STORES LLC |
| Other Organization Name | OSCO DRUG #3477 |
| Practice Address |
4734 N Cumberland Ave Chicago IL 60656 |
| Mailing Address |
250 E Parkcenter Blvd Mailstop Sec2-b Boise ID 83706-3940 |
| Practice Telephone | 7736255525 |
| Practice Fax Number | 7736254502 |
| Mailing Telephone | 2083956200 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | TIFFANY ELIOPULOS (ENROLLMENT ASSISTANT MANAGER) |
| Authorized Official Telephone | 2083953906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054-003277 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2022375 | 01 |
| Other Name | Type Code |
|---|---|
| OSCO DRUG #3477 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1336603463 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 6014 S Cottage Grove Ave, Chicago, IL 60637-2526 | 2019-01-23 |
| 1184930984 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3630 N Southport Ave, Chicago, IL 60613 | 2010-08-31 |
| 1164694022 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3795 Orchard Rd, Oswego, IL 60543 | 2008-03-31 |
| 1689845075 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 220 W Peace Rd, Sycamore, IL 60178 | 2008-03-13 |
| 1831389204 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2021 E Laraway Rd, New Lenox, IL 60451 | 2007-07-31 |
| 1083828370 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2401 Route 12, Spring Grove, IL 60081 | 2007-05-09 |
| 1821217993 | American Drug Stores LLC | Pharmacy | 800 North Main St, Elburn, IL 60119 | 2007-04-25 |
| 1083776959 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 446 S Washington Ave, Kankakee, IL 60901 | 2006-12-15 |
| 1235179417 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 9650 W 131st St, Palos Park, IL 60464 | 2006-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | American Drug Stores LLC | 250 Parkcenter Blvd, Boise, ID 83706 |
| Oregon Corporations, Companies and Business Names | AMERICAN DRUG STORES LLC | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Massachusetts Corporations | AMERICAN DRUG STORES LLC | 250 Parkcenter Blvd, Boise, ID 83706 |
| North Carolina Corporations | AMERICAN DRUG STORES LLC | 2 South Salisbury Street, Raleigh, NC 27601 |
| Iowa Business Entities | AMERICAN DRUG STORES LLC | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Colorado Business Entities | AMERICAN DRUG STORES LLC | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Vermont Business Registrations | AMERICAN DRUG STORES LLC | 250 Parkcenter Blvd, Boise, ID 83706 |
| Washington State Corporations | AMERICAN DRUG STORES LLC | 250 E Parkcenter Blvd, Boise, ID 83706-3940 |
| Indiana Business Entities | AMERICAN DRUG STORES LLC | 250 Parkcenter Blvd, Boise, ID 83706 |
| Oklahoma Business Registrations | AMERICAN DRUG STORES LLC | Attn: Corp Secretary Dept, Po Box 20, Boise, ID 83726-0020 |
| Street Address |
4734 N CUMBERLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508413030 | Risa Kim | Pharmacist | 4734 N Cumberland Ave, Chicago, IL 60656-4239 | 2019-08-20 |
| 1003262692 | Pamela Salvesen | Pharmacist | 4734 N Cumberland Ave, Chicago, IL 60656-4239 | 2016-05-12 |
| 1164828539 | Michael Bogdan | Pharmacist | 4734 N Cumberland Ave, Chicago, IL 60656-4239 | 2014-11-13 |
| 1790904043 | Santina A Greif | Pharmacist | 4734 N Cumberland Ave, Chicago, IL 60656-4239 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356885479 | Daniel Phalin | Physician Assistant | 5666 E. State St, Rockford, IL 60656 | 2016-12-08 |
| 1093083768 | Renalyn Rico | Physical Therapist | Gem Staffing Inc, 5440 N. Cumberland, 101a, Chicago, IL 60656 | 2011-12-08 |
| 1467734582 | Ralph A Cardone | Pharmacist | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-14 |
| 1326293226 | Richard J Bret | Dentist | 7100 W. Higgins, Chicago, IL 60656 | 2008-11-20 |
| 1588813372 | Ozgul Kadriye Holmgren | Behavioral Analyst | 7634 W Balmoral Ave, Chicago, IL 60656 | 2008-09-16 |
| 1841342375 | Magdi Naguib Gayed | Dentist | 8441 West Lawrence Ave, Chicago, IL 60656 | 2007-01-17 |
| 1225105281 | Frank Capobianco | Internal Medicine | 7046 W Higgins, Chicago, IL 60656 | 2006-11-28 |
| 1336195726 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 7342 W Foster Ave, Chicago, IL 60656 | 2006-05-26 |
| 1508149865 | Walgreens | Point of Service | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-23 |
| 1962457341 | John Harry Fournier | Ophthalmology | 5201 N Harlem Ave, Chicago, IL 60656 | 2006-05-23 |
| Find all providers in zip 60656 | ||||
| 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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| 1558994921 | Diaz Holdings, Inc. | Pharmacy | 3204 W Lawrence Ave, Chicago, IL 60625-5209 | 2020-02-13 |
| 1427698349 | Heena Vital Rx, Inc. | Pharmacy | 1525 E 55th St Ste 103, Chicago, IL 60615-5514 | 2020-01-08 |
| 1952944563 | Ameer Pharmacy Inc. | Pharmacy | 104 W 111th St, Chicago, IL 60628-4215 | 2019-10-26 |
| 1255981106 | Elsdon Pharmacy, Inc. | Pharmacy | 4254 W 55th St Ste 100, Chicago, IL 60632-4642 | 2019-09-12 |
| 1346702669 | Cardinal Health 132 LLC | Pharmacy | 641 W 63rd St Ste 100, Chicago, IL 60621-2032 | 2019-04-04 |
| 1245703982 | Luna Pharmacy At Madison LLC | Pharmacy | 3171 W Madison St Ste 2, Chicago, IL 60612-1809 | 2019-01-04 |
| 1427534742 | Genoa Healthcare, LLC | Pharmacy | 4318 S State St Ste 26, Chicago, IL 60609-3701 | 2018-07-19 |
| 1356843072 | Advanced Care Rx LLC | Pharmacy | 11422 S Western Ave Ste 101, Chicago, IL 60643-4120 | 2018-03-08 |
| Find all providers in CHICAGO | ||||
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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.