American Drug Stores LLC
Organization Active NPI Community/Retail Pharmacy · Huntley, IL
NPI 1164022901 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1164022901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- AMERICAN DRUG STORES LLC
- Practice address
- 10090 N Highway 47
Huntley, IL 60142-9331 - Phone
- (847) 802-3347
- Fax
- (847) 802-3348
- NPI assigned
- Oct 30, 2020
- Organization subpart
- No
Authorized official
- Name
- Kathy Giannakopoulos
- Title
- Enrollments Manager
- Phone
- (208) 395-3954
Corporate family (same tax ID) 24
Member of 3
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Osco Drug #3198 |
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 |
|---|---|---|---|---|
| O20210127000478 | IL | DME Supplier - Pharmacy |
1052216835 | Practice locations: Huntley, IL |
National Provider Directory
- Tax ID family
- Osco Drug 956
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
10090 N Highway 47
Huntley, IL 60142-9331
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names
- Osco Drug #3198
Other providers in Huntley, IL
- Ihab Ahmed
- Olaitan Akinlehin
- Alden Estates-Courts of Huntley, Inc.
- Channa Amarasekera
- American Drug Stores LLC
- American Family Home Health Services, LLC
- Amherst Chiropractic & Rehabilitation Group
- Nnamdi Amilo
- Kevin Mark Anderson
- Tracy S Arghavani
All providers in Huntley, 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 Dec 21, 2023. 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.