ENDRIS PHARMACY INC


Address: 109 S Locust St, Pana, IL 62557-1429
Phone: 2175622232

ENDRIS PHARMACY INC (NPI# 1932213907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932213907
Entity Type Organization
Organization Name ENDRIS PHARMACY INC
Practice Address 109 S Locust St
Pana
IL 62557-1429
Mailing Address Po Box 108
Pana
IL 62557-0108
Practice Telephone 2175622232
Practice Fax Number 2175622485
Enumeration Date 2006-08-18
Last Update Date 2008-04-20
Authorized Official Name HAROLD ENDRIS (OWNER)
Authorized Official Telephone 2175622232
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy IL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 1401417 01
OTHER ID NUMBER 1401417 01

Office Location

Street Address 109 S LOCUST ST
City PANA
State IL
Zip Code 62557-1429

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033567805 Joni Marie Lidy Speech-Language Pathologist 1000 E. 6th Street, Pana, IL 62557 2016-06-01
1750538237 Nancy L. Simpson Physical Therapy Assistant 100 E 6th St. Rd., Pana, IL 62557 2008-08-26
1306093661 Maiden Louise Axalan Bacolod Physical Therapist 900 S Chestnut, Prairie Rose Healthcare Center, Pana, IL 62557 2008-08-19
1922128123 Randall Dean Floyd Dentist 9 South State Street, Pana, IL 62557 2007-03-30
1114056363 Laurie Cunnington Family Medicine 101 East Ninth St, Pana, IL 62557 2007-03-05
1871688390 Donald Metzger Pharmacist 28 East Second, Pana, IL 62557 2006-10-03
1851486377 John A Metzger Pharmacist 28 East Second Street, Pana, IL 62557 2006-10-03
1437228319 Deogracias F Quizon Family Medicine 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557 2006-11-07
1235225236 Pana Community Hospital Association Clinic/Center 101 E 9th St, Suite 105, Pana, IL 62557 2006-10-05
1245437797 Hickory Estates of Pana LLC Assisted Living Facility 101 N Hickory St, Pana, IL 62557-1040 2007-06-28
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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: added definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730702549 Aster Pharmacy LLC Pharmacy 9213 Waukegan Rd, Morton Grove, IL 60053-2102 2020-05-27
1568083301 Pointcore, Inc. Pharmacy 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 2020-05-04
1336768001 Mhg Pharmacy Services, LLC Pharmacy 2923 N California Ave Ste 240, Chicago, IL 60618-7702 2020-04-13
1184258824 Metropolitian Austin Outpatient Pharmacy LLC Pharmacy 645 S Central Ave Ste 1, Chicago, IL 60644-5059 2020-03-02
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1568093615 Carefirst Pharmacy, Inc. Pharmacy 2253 N Cicero Ave, Chicago, IL 60639-3327 2020-01-28
1720624521 Affinity Pharmacy Care LLC Pharmacy 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 2019-11-27
1104462126 Loyola University Medical Center Pharmacy 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 2019-11-25
1346886512 Value Plus Pharmacy LLC Pharmacy 457 W Liberty St, Wauconda, IL 60084-2452 2019-11-22
1841833100 April M Bailey Pharmacy 1019 Oakcrest Dr, Rantoul, IL 61866-1118 2019-10-18
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Competitor

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City PANA
Zip Code 62557

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Dataset Information

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.

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