Organization Active NPI

Quik Scripts of Northwest Indiana LLC

  • Community/Retail Pharmacy
  • Beecher, IL
National Provider Identifier
1265948848
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
QUIK SCRIPTS OF NORTHWEST INDIANA LLC
Practice address
715 S Dixie Hwy
Beecher, IL 60401-3668
Phone
(708) 231-6343
Fax
(708) 231-6483
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
David Davila, RPH
Title
Owner
Phone
(708) 231-6343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

715 S Dixie Hwy
Beecher, IL 60401-3668

Mailing address

715 S Dixie Hwy
Beecher, IL 60401-3668
Phone (708) 231-6343

Other identifiers 1

IdentifierTypeStateIssuer
310-94-5830-001MedicaidIN

Other names 1

  • Quik Scripts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000588 IL Part B Supplier - Pharmacy 2365899424 Practice locations: Beecher, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2203183Quik Scripts715 S Dixie Hwy, Beecher, IL 60401Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Quik Scripts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1265948848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S DIXIE HWY",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013668",
            "telephone_number": "708-231-6343",
            "fax_number": "708-231-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S DIXIE HWY",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013668",
            "telephone_number": "708-231-6343",
            "fax_number": "708-231-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIK SCRIPTS OF NORTHWEST INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-231-6343",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310-94-5830-001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quik Scripts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beecher, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.