Illinois Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ILLINOIS FAMILY PHARMACY LLC

Doing business as

Comprehensive Care Pharmacy

Practice address

117 Clintonian PLZ
Breese, IL 62230-1501

Phone

(618) 526-8040

Fax

(618) 526-8072

NPI assigned

Jun 12, 2024

Last updated

Apr 21, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha Dryer

Title

Vice President

Phone

(618) 526-8040

Specialties & licenses 2

Addresses

Other names 1

• Comprehensive Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Tax ID family

Comprehensive Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Illinois Family Pharmacy LLC

  dba Comprehensive Care Pharmacy - Long Term Care

  • Long Term Care Pharmacy
  • Breese, IL
  • NPI 1700628377
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1003658600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CLINTONIAN PLZ",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301501",
            "telephone_number": "618-526-8040",
            "fax_number": "618-526-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CLINTONIAN PLZ",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301501",
            "telephone_number": "618-526-8040",
            "fax_number": "618-526-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "DRYER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-526-8040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Hodges
• Courtney Hollenkamp, PT
• HSHS Prairie, Inc (HSHS Prairie Foot and Ankle - Breese)
• Kara Ann Huegen, AGNP-C, FNP
• Brett Lynn Hutcherson, D.O.
• Illinois Family Pharmacy LLC (Comprehensive Care Pharmacy - Long Term Care)
• Infinity-Meds LLP
• Travis Allen Isaak, D.C.
• Clarece Rose Jansen
• Kelly Jean Kalmer, NP

• Community/Retail Pharmacy in Breese, IL
• Providers in Breese, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.