Organization Active NPI

Family Care Pharmacy, Inc

  • Long Term Care Pharmacy
  • Highland, IL
National Provider Identifier
1083701270
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FAMILY CARE PHARMACY, INC
Doing business as
Family Care Pharmacy
Practice address
1108 Broadway
Highland, IL 62249
Phone
(618) 882-5028
Fax
(618) 882-5049
NPI assigned
Oct 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Daniel Fieker, RPH
Title
Owner
Phone
(618) 654-2323

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054002142 IL
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1108 Broadway
Highland, IL 62249

Mailing address

1108 Broadway
Highland, IL 62249-1917
Phone (618) 654-2323

Other identifiers 1

IdentifierTypeStateIssuer
2022464OtherPK

Other names 1

  • Family Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

20 N 4th St
Breese, IL 62230
Phone (618) 526-2800

1106 Broadway
Highland, IL 62249
Phone (618) 654-2323

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1083701270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BROADWAY",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491917",
            "telephone_number": "618-654-2323",
            "fax_number": "618-654-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BROADWAY",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "62249",
            "telephone_number": "618-882-5028",
            "fax_number": "618-882-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "FIEKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-654-2323",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054002142",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.