Van Driel's Drug Store

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VAN DRIEL'S DRUG STORE

Doing business as

vandriel's medical surgical supply

Practice address

100 E Northwest Hwy
Mt Prospect, IL 60056-3232

Phone

(847) 253-6494

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By 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. Max F Ullrich

Title

Owner

Phone

(847) 253-6494

Specialties & licenses 1

Addresses

Other names 1

• vandriel's medical surgical supply Doing business as

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083769863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S PINE ST",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563117",
            "telephone_number": "847-255-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NORTHWEST HWY",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563232",
            "telephone_number": "847-253-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DRIEL'S DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ULLRICH",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-253-6494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vandriel's medical surgical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Urban Supply Inc
• Uropartners, LLC
• Uropartners, LLC
• Mourette Valcin
• Jennifer Marie Van Blake, MHS-CCC-SLP
• Van Driels Medical Support Wear Co
• James Edward Vanderbosch Jr., PSY.D.
• Lindy Vandersteeg, B.A., M.A., LPC
• Rockie Vanga, APN
• Jaison Varghese, PHARM.D

• Durable Medical Equipment & Medical Supplies in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.