Bandys Apothecary Shops Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.019697 Issued in IL

Legal business name

BANDYS APOTHECARY SHOPS INC

Doing business as

Bandy's Pharmacy II

Practice address

817 E McCord St
Centralia, IL 62801

Phone

(618) 533-3300

Fax

(618) 533-3302

NPI assigned

May 11, 2006

Last updated

Jun 12, 2024By 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

Eric Bandy

Title

President

Phone

(618) 533-3300

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Bandy's Pharmacy II Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bandys Apothecary Shops Inc

  dba Bandy's Pharmacy II

  • Pharmacy
  • Trenton, IL
  • NPI 1548353980

  8527391895

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bandys Apothecary Shops Inc

  dba Bandy's Pharmacy II

  • Pharmacy
  • Trenton, IL
  • NPI 1548353980

  O20190603000057

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Bandys Apothecary Shops Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Bandys Apothecary Shops Inc

  dba Bandy's Pharmacy II

  • Community/Retail Pharmacy
  • Wayne City, IL
  • NPI 1083793962
  NPD tax ID
• Bandys Apothecary Shops Inc

  dba Bandy's Pharmacy II

  • Pharmacy
  • Trenton, IL
  • NPI 1548353980
  NPD tax ID
• Bandys Apothecary Shops Inc

  • Pharmacy
  • Fairview Heights, IL
  • NPI 1558206508
  NPD tax ID
• Bandys Apothecary Shops, Inc

  dba Bandy's Pharmacy II

  • Pharmacy
  • Irvington, IL
  • NPI 1891736062
  NPD tax ID

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1144270265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E MCCORD ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013044",
            "telephone_number": "618-533-3300",
            "fax_number": "618-533-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E MCCORD ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-533-3300",
            "fax_number": "618-533-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDYS APOTHECARY SHOPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BANDY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-533-3300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.019697",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bandy's Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bandy's Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Aud
• Audio Hearing Aid Center of Centralia
• Aziz Rahman MD Facp PC
• B C Stufflebam, MD, LLC
• Backroad Health Care Inc
• Wendy Barban-Jourdan, BEHAVIOR THERAPIST
• Kaitlin Barbee
• Tiana Barbee
• Chapyn Barnett
• Joel Jonathan Barrientos, MS ED

• Community/Retail Pharmacy in Centralia, IL
• Providers in Centralia, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.