American Drug Stores LLC
Organization Active NPI Community/Retail Pharmacy · Hoffman Estates, IL
NPI 1104864347 · NPPES record last updated Sep 12, 2019
Key facts
- NPI
- 1104864347
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054-004964 (IL)
- Legal business name
- AMERICAN DRUG STORES LLC
- Practice address
- 1071 N Roselle Rd
Hoffman Estates, IL 60169 - Phone
- (847) 882-6477
- Fax
- (847) 781-0802
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathy Giannakopoulos
- Title
- Enrollments Manager
- Phone
- (208) 395-3954
Corporate family (same tax ID) 24
Member of 3
Practitioners 2
-
Mike Bacich, PHARM D
-
Harpreet Kaur, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| American Drug Stores LLC |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Surgical Dressings | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930023725 | IL | DME Supplier - Pharmacy |
1052216835 | Practice locations: Hoffman Estates, IL |
National Provider Directory
- Tax ID family
- Osco Drug 956
Locations
1071 N Roselle Rd
Hoffman Estates, IL 60169
Phone (847) 882-6477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054-004964 | IL | Yes |
Addresses
Primary practice location
1071 N Roselle Rd
Hoffman Estates, IL 60169
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022583 | Other | PK |
Other names
- OSCO DRUG #3316
Other providers in Hoffman Estates, IL
- Jasmine Alvarez
- Amanda L. Harris LLC
- Amar Niya Pharmacy, Inc
- Amedcao Dental Center
- Joseph Ogie Amedu
- American Drug Stores LLC
- American Humanity Helpers Corp
- American Oncology Partners, P.a.
- Anand Amin
- Umesh C. Amin
All providers in Hoffman Estates, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.