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
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 3

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

Locations (25 of 307)

1550 Puente Ave
Baldwin Park, CA 91706
Phone (626) 814-1483

5748 Mesmer Ave
Culver City, CA 90230
Phone (310) 915-0981

4949 Stevenson Blvd
Fremont, CA 94538
Phone (510) 657-7937

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

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

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

222 N Market St
Inglewood, CA 90301
Phone (310) 671-0441

8920 Fletcher Pkwy
La Mesa, CA 91942
Phone (619) 667-9626

15210 Rosecrans Ave
La Mirada, CA 90638
Phone (714) 228-0204

43839 15th St W
Ste P
Lancaster, CA 93534
Phone (661) 200-0562

4570 Atlantic Ave
Long Beach, CA 90807
Phone (562) 423-7959

5985 W Pico Blvd
Los Angeles, CA 90035
Phone (323) 965-9161

12315 Venice Blvd
Los Angeles, CA 90066
Phone (310) 390-6296

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

9900 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 892-4321

150 E Yorba Linda Blvd
Placentia, CA 92870
Phone (714) 528-3112

6155 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 462-3530

1223 N Davis Rd
Salinas, CA 93907
Phone (831) 643-1887

1300 Fairmont Dr
San Leandro, CA 94578
Phone (510) 276-8106

2302 W 1st St
Cedar Falls, IA 50613
Phone (319) 277-5181

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

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

2425 Muscatine Ave
Iowa City, IA 52240
Phone (319) 358-1056

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

2060 Crossroads Blvd
Waterloo, IA 50702
Phone (319) 235-6249

Practitioners & affiliated clinicians

Practitioners 538

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 538

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.