Active NPI
Family Care Pharmacy, Inc
- Long Term Care Pharmacy
- Highland, IL
National Provider Identifier
1083701270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022464 | Other | PK |
Other names 1
- Family Care Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.