| NPI | 1164478558 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-26 |
| Last Updated | 2018-06-28 |
| Authorized Official | Tiffany Eliopulos ENROLLMENT ASSISTANT MANAGER Phone: 2083953906 |
| Mailing Address | 250 E Parkcenter Blvd, Mailstop Sec2-B Boise, ID 83706-3940 United States 📍 View Map |
| Primary Practice Address | 375 Randall Rd South Elgin, IL 60177 United States Phone: (847) 622-1220 | Fax: (847) 622-1617 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 2025050 | PK |
| MEDICAID | IL | =========094 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | IL | 054-014202 |
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About NPI 1164478558
American Drug Stores Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164478558. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in South Elgin, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164478558?
NPI 1164478558 belongs to American Drug Stores Llc, a Pharmacy, Community/Retail Pharmacy in South Elgin, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164478558 active?
The current status of NPI 1164478558 in the NPPES registry is Active. The record was last updated on 2018-06-28.
What specialty is NPI 1164478558?
NPI 1164478558 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164478558?
You can verify NPI 1164478558 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164478558?
The primary practice address on file for NPI 1164478558 is 375 Randall Rd, South Elgin, IL 60177. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164478558 issued?
NPI 1164478558 was first issued (enumerated) on 2006-05-26. The NPPES record was last updated on 2018-06-28.
Practice Location Map
American Drug Stores Llc is located at 375 Randall Rd, South Elgin, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as American Drug Stores Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164478558. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 054-014202 | IL |