C R PHARMACY SERVICE INC (NPI# 1982025581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982025581 |
Entity Type | Organization |
Organization Name | C R PHARMACY SERVICE INC |
Other Organization Name | KELLY'S HOME MEDICAL, A CAREPRO AFFILIATE |
Practice Address |
600 N College Ave Geneseo IL 61254-1091 |
Practice Telephone | 3099449797 |
Practice Fax Number | 3099449799 |
Mailing Telephone | 3099449797 |
Mailing Fax Number | 3099449799 |
Enumeration Date | 2013-12-27 |
Last Update Date | 2015-07-31 |
Authorized Official Name | MRS. MICHELLE M. JENSEN (CEO) |
Authorized Official Telephone | 3193634554 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
Other Name | Type Code |
---|---|
Kelly's Home Medical, a CarePro Affiliate | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487817532 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 474 First Ave, Carepro Home Medical, Coralville, IA 52241 | 2008-07-09 |
1043307705 | C R Pharmacy Service Inc | Pharmacy | 402 10th St Se Ste 100, Cedar Rapids, IA 52403-2441 | 2006-10-06 |
1013012251 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 202 10th St Se Ste 117, Cedar Rapids, IA 52403-2424 | 2006-09-13 |
1992126551 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 730 E Kimberly Rd, Davenport, IA 52807-1621 | 2013-12-30 |
1558782110 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 931 13th Ave N, Clinton, IA 52732-5072 | 2013-12-30 |
1154742757 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 4517 Avenue of The Cities, Moline, IL 61265-4551 | 2013-12-27 |
1174616650 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 717 A Ave Ne, Suite 202, Cedar Rapids, IA 52401-1024 | 2006-10-02 |
1992755615 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th St Se, Suite 600, Cedar Rapids, IA 52403-2459 | 2006-05-11 |
Street Address |
600 N COLLEGE AVE |
City | GENESEO |
State | IL |
Zip Code | 61254-1091 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417956319 | Quad Cities Kidney Center, Ltd. | Clinic/Center | 600 N College Ave, Suite 150, Geneseo, IL 61254-1096 | 2005-07-21 |
1528675733 | Marcella Alene Miner | Nurse Practitioner | 600 N College Ave, Geneseo, IL 61254-1099 | 2020-09-30 |
1285278093 | Kailey Nicole Limes | Dietitian, Registered | 600 N College Ave, Geneseo, IL 61254-1099 | 2019-11-05 |
1164065801 | Staci Lynne Circello | Nurse Practitioner | 600 N College Ave, Geneseo, IL 61254-1099 | 2019-10-25 |
1164926945 | Kristen K Maughan | Dietitian, Registered | 600 N College Ave, Geneseo, IL 61254-1094 | 2018-03-19 |
1093213308 | Hammond Henry Dist Hospital | Clinic/Center | 600 N College Ave, Geneseo, IL 61254-1091 | 2018-02-01 |
1497207799 | Brittany Courson | Nurse Practitioner | 600 N College Ave, Ste 102, Geneseo, IL 61254-1091 | 2016-11-03 |
1821440959 | Kati Grimes | Nurse Practitioner | 600 N College Ave, Ste 120, Geneseo, IL 61254-1091 | 2016-07-13 |
1548620909 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 600 N College Ave, Suite 150, Geneseo, IL 61254-1091 | 2016-02-29 |
1285005850 | Iowa Physicians Clinic Medical Foundation | Physician Assistant | 600 N College Ave, Suite 120, Geneseo, IL 61254-1095 | 2015-10-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891259362 | Allison J Blade | Nurse Practitioner | 600 N College Avenue Suite 120, Geneseo, IL 61254 | 2019-01-29 |
1477070258 | Aaron Thomas Wachtel, Dds | Dentist | 608 E. Ogden Avenue, Geneseo, IL 61254 | 2017-08-23 |
1558895722 | Triston Harry | Social Worker | 2707 17th Street, Rock Island, IL 61254 | 2017-04-14 |
1306392980 | Rebecca Woodard | Counselor | 2701 17 Street, Rock Island, IL 61254 | 2016-09-01 |
1164701082 | Kara Wiedenhoeft | Physical Therapist | 29 Meadowbrook Drive, Geneseo, IL 61254 | 2011-08-09 |
1982256301 | Jalyn April Salas | Occupational Therapy Assistant | 704 S Illinois St, Geneseo, IL 61254 | 2019-07-15 |
1306318001 | Ashley Mclaughlin | Social Worker | 2701 17th St, Rock Island, IL 61254 | 2018-12-19 |
1144747858 | Logan Hagerman | Counselor | 2701 17th St, Rock Island, IL 61254 | 2017-08-23 |
1013454677 | Amber Leanne Cozad | Counselor | 2701 17th St, Rock Island, IL 61254 | 2017-01-20 |
1457898173 | Paul Schmidt | Counselor | 2701 17th Street, Rock Island, IL 61254 | 2017-01-20 |
Find all providers in zip 61254 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578627089 | Associated Healthcare Systems, Inc | Durable Medical Equipment & Medical Supplies | 35 E South St, Geneseo, NY 14454-1367 | 2006-12-20 |
1942750518 | Hillcrest Home | Durable Medical Equipment & Medical Supplies | 14688 Illinois Highway 82, Geneseo, IL 61254-8616 | 2016-10-07 |
1760650238 | J&s Kelly LLC | Durable Medical Equipment & Medical Supplies | 600 N College Ave, Room 230, Geneseo, IL 61254-1091 | 2008-02-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699026 | First Choice Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 65 S 65th St Ste 10, Belleville, IL 62223-2946 | 2020-11-04 |
1619596624 | Gz Service Inc | Durable Medical Equipment & Medical Supplies | 576 Jennifer Cir, Mundelein, IL 60060-4110 | 2020-04-09 |
1528690526 | Nationwide Medical, Inc. | Durable Medical Equipment & Medical Supplies | 415 W Golf Rd Ste 48, Arlington Heights, IL 60005-3923 | 2020-02-07 |
1477024347 | Karma7 Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1840 Industrial Dr Ste 160, Libertyville, IL 60048-9400 | 2018-12-17 |
1700354354 | True Respiratory Care & Medical Management LLC | Durable Medical Equipment & Medical Supplies | 11415 183rd Pl Ste B, Orland Park, IL 60467-5011 | 2018-11-12 |
1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
1487103560 | The Elms | Durable Medical Equipment & Medical Supplies | 1212 Madelyn Ave, Macomb, IL 61455-3324 | 2016-09-29 |
1457807257 | Genventures Inc | Durable Medical Equipment & Medical Supplies | 101 S. College Avenue, Aledo, IL 61231-1630 | 2016-08-31 |
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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.