Organization Active NPI

American Drug Stores LLC

  • Community/Retail Pharmacy
  • Diamond, IL
National Provider Identifier
1013786706
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AMERICAN DRUG STORES LLC
Practice address
2707 E Division St
Diamond, IL 60416
Phone
(779) 340-9360
NPI assigned
Dec 22, 2023
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Kathy Giannakopoulos
Title
Enrollments Manager
Phone
(208) 395-3954

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2707 E Division St
Diamond, IL 60416

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3999
Phone (208) 395-3954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250402001404 IL DME Supplier - PharmacyDME Supplier - Grocery Store 1052216835 Practice locations: Diamond, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
American Drug Stores LLC2707 E Division St, Diamond, IL 60416-9001(779) 340-9360 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Urological Supplies|Surgical Dressings Does not accept assignmentParticipating since Oct 1, 1989

National Provider Directory

National Provider Directory
Tax ID family
Osco Drug 956185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 323)

2427 E Valley Pkwy
Escondido, CA 92027
Phone (760) 745-2503

15700 S Western Ave
Gardena, CA 90247
Phone (310) 538-3131

1855 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 246-4934

526 W Foothill Blvd
Glendora, CA 91741
Phone (626) 857-1942

2141 S Hacienda Blvd
Hacienda Heights, CA 91745
Phone (626) 330-8775

16904 Main St
Hesperia, CA 92345
Phone (760) 949-5581

291 McCray St
Hollister, CA 95023
Phone (831) 634-1887

43839 15th St W
Ste P
Lancaster, CA 93534
Phone (661) 942-0607

44430 Challenger Way
Lancaster, CA 93535
Phone (661) 940-8311

1030 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 255-5130

2521 Eastbluff Dr
Newport Beach, CA 92660
Phone (949) 717-6625

2501 Fair Oaks Blvd
Sacramento, CA 95825
Phone (916) 484-7016

4404 El Cajon Blvd
San Diego, CA 92115
Phone (619) 208-5006

7393 Jackson Dr
San Diego, CA 92119
Phone (619) 465-6800

1750 Fulton St
San Francisco, CA 94117
Phone (415) 923-6789

12717 Glenoaks Blvd
Sylmar, CA 91342
Phone (818) 367-6116

100 W Foothill Blvd
Upland, CA 91786
Phone (909) 982-8908

311 W Pacific Coast Hwy
Ste C
Wilmington, CA 90744
Phone (310) 513-0760

2314 Spruce Hills Dr
Bettendorf, IA 52722
Phone (563) 359-0374

207 2nd Ave SE
Cedar Rapids, IA 52401
Phone (319) 221-1050

2711 Mount Vernon Rd SE
Cedar Rapids, IA 52403
Phone (319) 364-3051

104 E Euclid Ave
Des Moines, IA 50313
Phone (515) 243-0601

2821 E Euclid Ave
Des Moines, IA 50317
Phone (515) 266-6717

3151 SE 14th St
Des Moines, IA 50320
Phone (515) 288-1316

4651 86th St
Urbandale, IA 50322
Phone (515) 276-9313

Practitioners & affiliated clinicians

Practitioners 545

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 545

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1013786706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063999",
            "telephone_number": "208-395-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E DIVISION ST",
            "city": "DIAMOND",
            "state": "IL",
            "postal_code": "60416",
            "telephone_number": "779-340-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DRUG STORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "GIANNAKOPOULOS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ENROLLMENTS MANAGER",
        "authorized_official_telephone_number": "208-395-3954"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": []
}

Other providers in Diamond, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.