Active NPI
Quik Scripts of Northwest Indiana LLC
- Community/Retail Pharmacy
- Beecher, IL
National Provider Identifier
1265948848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310-94-5830-001 | Medicaid | IN |
Other names 1
- Quik Scripts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231110000588 | IL | Part B Supplier - Pharmacy | 2365899424 | Practice locations: Beecher, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2203183 | Quik Scripts | Certificate of waiver | Dec 2, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Quik Scripts
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Saint John, IN
- NPI 1851816763
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.