GROCERIES OF SOUTHERN ILLINOIS, LLC (NPI# 1831289750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831289750 |
| Entity Type | Organization |
| Organization Name | GROCERIES OF SOUTHERN ILLINOIS, LLC |
| Other Organization Name | TOMS PHARMACY |
| Practice Address |
369 Marketplace Dr Freeburg IL 62243 |
| Mailing Address |
369 Marketplace Dr Freeburg IL 62243-4075 |
| Practice Telephone | 6185393164 |
| Practice Fax Number | 6185395014 |
| Mailing Telephone | 6185393164 |
| Mailing Fax Number | 6185395014 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-05-07 |
| Authorized Official Name | MEGHAN HEURING (PIC) |
| Authorized Official Telephone | 6185393164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054020849 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2023267 | 01 | |
| IL | 371119006002 | 05 |
| Other Name | Type Code |
|---|---|
| Freeburg Country Mart | Doing Business As Name - Organization |
| TOMS PHARMACY | Doing Business As Name - Organization |
| Street Address |
369 MARKETPLACE DR |
| City | FREEBURG |
| State | IL |
| Zip Code | 62243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225351703 | Apex Physical Therapy | Physical Therapist | 251 Marketplace Center, Freeburg, IL 62243 | 2010-03-11 |
| 1346308178 | Debra Ann Biekert | Speech-Language Pathologist | 934 Bay Pointe Dr, Freeburg, IL 62243 | 2006-12-05 |
| 1255316725 | Vidya Deshpande | Pathology | 45 Sheffield Drive, Belleville, IL 62243 | 2005-12-07 |
| 1619537867 | Angela Kay Kern | Nurse Practitioner | 251 Marketplace Dr, Freeburg, IL 62243 | 2019-06-19 |
| 1386961464 | Jamie L Hahne | Massage Therapist | 102 N State St, Freeburg, IL 62243-1214 | 2010-04-28 |
| 1982600375 | Jannell W Vetter | Physical Therapist | 102 N State St, Freeburg, IL 62243-1246 | 2005-06-22 |
| 1902030927 | Matthew R. Leonard, S.c. | Chiropractor | 102 N State St, Suite A, Freeburg, IL 62243-1246 | 2009-05-05 |
| 1609995687 | Burl Wayne Hand IIi | Dentist | 201b W High St, Freeburg, IL 62243-1313 | 2007-03-28 |
| 1578727103 | Occupational Health Centers of Illinois PC | Clinic/Center | 501 W Apple St, Freeburg, IL 62243-1389 | 2008-07-13 |
| 1083720775 | Todd E Vonderheide | Family Medicine | 251 Market Place Dr, Suite 100, Freeburg, IL 62243-1393 | 2006-08-22 |
| Find all providers in zip 62243 | ||||
| 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 |
|---|---|---|---|---|
| 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.