FEDDCO INC (NPI# 1811946510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811946510 |
Entity Type | Organization |
Organization Name | FEDDCO INC |
Other Organization Name | MEDPLUS PHARMACY |
Practice Address |
111 N State St Ste C Westville IL 61883-1461 |
Practice Telephone | 2172678077 |
Practice Fax Number | 2172676082 |
Mailing Telephone | 2174421100 |
Mailing Fax Number | 2174421101 |
Enumeration Date | 2006-05-09 |
Last Update Date | 2017-02-16 |
Authorized Official Name | FIDELIS OKEKE (PRESIDENT) |
Authorized Official Telephone | 2174031371 |
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 |
054018112 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2137612 | 01 |
Other Name | Type Code |
---|---|
MedPlus Pharmacy | Doing Business As Name - Organization |
Street Address |
111 N STATE ST STE C |
City | WESTVILLE |
State | IL |
Zip Code | 61883-1461 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700340957 | Morgan Gallion | Specialist/Technologist | 808 N Scott St, Westville, IL 61883 | 2019-01-22 |
1295955334 | Dawn G Campbell | Massage Therapist | 12 Knight Lane, Westville, IL 61883 | 2007-04-30 |
1649658667 | Jennifer Jean Jenkins | Specialist | 8 Center Street, Westville, IL 61883-1002 | 2015-05-11 |
1316056153 | Westville Community Unit Dist 2 | Local Education Agency (LEA) | 125 W Ellsworth St, Westville, IL 61883-1233 | 2006-08-29 |
1750484424 | Highland Park Cvs, L.L.C. | Pharmacy | 111 N State St, Westville, IL 61883-1461 | 2006-09-07 |
1518518430 | Robinson Chiropractic of Westville, LLC | Chiropractor | 111 N State St, Westville, IL 61883-1461 | 2019-09-23 |
1487989513 | Shaun Patrick Cox | Nurse Practitioner | 209 W Park St, Westville, IL 61883-1635 | 2009-10-07 |
1295248011 | Sherri J Givens | Speech-Language Pathologist | 200 S Walnut, Westville, IL 61883-1680 | 2017-11-15 |
1386157105 | Heidi Michele Hackett | Speech-Language Pathologist | 200 S Walnut, Westville, IL 61883-1680 | 2017-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
1861011199 | Maureen Baker | Nurse Practitioner | 29 Edgewater Ave, Westville, NJ 08093-1133 | 2020-04-16 |
1194356790 | Kyle Joseph Twist | Case Manager/Care Coordinator | 471076 E 723 Rd, Westville, OK 74965-7005 | 2020-02-01 |
1013566546 | Medelite Billing Service Inc | Contractor | 1563 Commander Rd, Westville, FL 32464-3020 | 2019-09-07 |
1104474188 | Ruby Jackson | Technician | 4046 Damascus Church Rd, Westville, SC 29175-9542 | 2019-09-03 |
1114573656 | Brenda Noe | Military Health Care Provider | 1796 S Rolling Meadows Dr, Westville, IN 46391-3701 | 2019-08-12 |
1639723018 | Jennifer S Garcia | Social Worker | 609 Winding Way, Westville, NJ 08093-2217 | 2019-07-24 |
1104478742 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 60 Taras Ave, Westville, NJ 08093-2303 | 2019-07-14 |
1790348522 | Pain Management of Westville | Anesthesiology | 419 S Williams Avenue, Westville, OK 74965 | 2019-04-17 |
1477011146 | Kelsch Associates Inc. New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Broadway Apt 312, Westville, NJ 08093-1438 | 2019-03-12 |
Find all providers in WESTVILLE |
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 |
---|---|---|---|---|
1558968958 | Westville Drug Company LLC | Pharmacy | 301 S. Williams St, Westville, OK 74965-7496 | 2020-10-08 |
1750484424 | Highland Park Cvs, L.L.C. | Pharmacy | 111 N State St, Westville, IL 61883-1461 | 2006-09-07 |
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.