NPIMap

Organization Active NPI

Doc'S Drugs LTC

  • Skilled Nursing Facility
  • Momence, IL
National Provider Identifier
1235376161
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
054014073 Issued in IL
Legal business name
DOC'S DRUGS LTC
Practice address
2764 North Route 1-17
B
Momence, IL 60954
Phone
(815) 472-3223
Fax
(815) 472-3253
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nick J Sartoris, B.S. RPH
Title
Director of Pharmacy
Phone
(815) 458-6104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 054014073 IL Primary

Addresses

Primary practice location

2764 North Route 1-17
B
Momence, IL 60954

Mailing address

2764 North Route 1-17
B
Momence, IL 60954
Phone (815) 472-3223

Other identifiers 1

IdentifierTypeStateIssuer
1482823OtherILNCPDP

Other names 1

  • Doc's Drugs of Momence Other name

National Provider Directory

National Provider Directory
Tax ID family
Doc'S Drugs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1235376161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 NORTH ROUTE 1-17",
            "address_2": "B",
            "city": "MOMENCE",
            "state": "IL",
            "postal_code": "60954",
            "telephone_number": "815-472-3223",
            "fax_number": "815-472-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 NORTH ROUTE 1-17",
            "address_2": "B",
            "city": "MOMENCE",
            "state": "IL",
            "postal_code": "60954",
            "telephone_number": "815-472-3223",
            "fax_number": "815-472-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC'S DRUGS LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "SARTORIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "815-458-6104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S. RPH"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "054014073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1482823",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doc's Drugs of Momence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Momence, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.