Eric Scott Bandy, RPH
Individual provider Active NPI Pharmacist · Salem, IL
NPI 1053089367 · NPPES record last updated Sep 1, 2021
Key facts
- NPI
- 1053089367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051286658 (IL)
- Practice address
- 1413 W Whittaker St
Salem, IL 62881-2015 - Phone
- (618) 548-4000
- Fax
- (618) 548-3784
- NPI assigned
- Sep 1, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051286658 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bandys Pharmacy Inc | Current | Accepting new patients | |
| Bandys Pharmacy Inc | Current | Accepting new patients | |
| Bandy'S LTC LLC | Current | Accepting new patients | |
| Bandys Apothecary Shops, Inc | Past |
Accepting new patients | |
| Bandys Apothecary Shops Inc | Past | Accepting new patients |
Locations
1413 W Whittaker St
Salem, IL 62881
Phone (618) 548-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051286658 | IL | Yes |
Addresses
Primary practice location
1413 W Whittaker St
Salem, IL 62881-2015
Mailing address
PO Box 546
Salem, IL 62881-0546
Phone (618) 548-4000
Other practice location 1
817 E McCord St
Centralia, IL 62801-3044
Phone (618) 533-3300
Other practice location 2
207 Huron St
Irvington, IL 62848-1056
Phone (618) 249-6905
Other practice location 3
310 S. Main St.
Wayne City, ID 62895
Phone (618) 895-2844
Other providers in Salem, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.