Active NPI
Bandys Pharmacy Inc
- Community/Retail Pharmacy
- Salem, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BANDYS PHARMACY INC
- Practice address
- 1413 W Whittaker St
Salem, IL 62881-2015 - Phone
- (618) 548-4000
- Fax
- (618) 548-3784
- NPI assigned
- May 5, 2006
- Last updated
- Sep 30, 2024
- 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
- Eric Scott Bandy
- Title
- Owner RPH
- Phone
- (618) 548-4000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 054008418 | IL | |
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
1413 W Whittaker St
Salem, IL 62881-2015
Mailing address
1413 W Whittaker St
P O Box 546
Salem, IL 62881-2015
Phone (618) 548-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000060 | IL | DME Supplier - Pharmacy | 9638295223 | Practice locations: Salem, IL |
| O20110301000814 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638295223 | Practice locations: Salem, 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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bandy's Pharmacy Inc | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Device… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Bandys Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bandy's Long Term Care Pharmacy
- Long Term Care Pharmacy
- Salem, IL
- NPI 1245741347
Locations
1413 W Whittaker St
Salem, IL 62881
Phone (618) 548-4000
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Bandys Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Salem, IL
- NPI 1316109721
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Salem, IL
- NPI 1053089367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727654400000",
"number": "1306894787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 W WHITTAKER ST",
"address_2": "P O BOX 546",
"city": "SALEM",
"state": "IL",
"postal_code": "628812015",
"telephone_number": "618-548-4000",
"fax_number": "618-548-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 W WHITTAKER ST",
"city": "SALEM",
"state": "IL",
"postal_code": "628812015",
"telephone_number": "618-548-4000",
"fax_number": "618-548-3784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANDYS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A",
"authorized_official_last_name": "BANDY",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER RPH",
"authorized_official_telephone_number": "618-548-4000"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "054008418",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.