District Drugs & Compounding Center LTD.

Primary specialty

PharmacyTaxonomy code 333600000X

License

054-013815 Issued in IL

Legal business name

DISTRICT DRUGS & COMPOUNDING CENTER LTD.

Practice address

319 18TH St
Rock Island, IL 61201-8715

Phone

(309) 786-8431

Fax

(309) 794-6481

NPI assigned

Dec 12, 2006

Last updated

Oct 30, 2012By 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

Mr. James Thomas Perry Jr., R.PH.

Title

President

Phone

(309) 786-8431

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• District Drugs Other name

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1043371529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 18TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018715",
            "telephone_number": "309-786-8431",
            "fax_number": "309-794-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 18TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018715",
            "telephone_number": "309-786-8431",
            "fax_number": "309-794-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT DRUGS & COMPOUNDING CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-786-8431",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054-013815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515577",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "District Drugs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joyce Diaz
• Maria Poust Dickmann
• Cheyenne Diekman, MHP
• Michael Anthony Dimaio, M.D.
• Kevin Dimas, MD
• Mark Robert Doerrfeld, DC
• Donald Normoyle MD SC
• Robert Donohoo, MS ED
• Erin Dooley
• Amber Michelle Dopler, LCSW

• Pharmacy in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.