NPIMap

Organization Active NPI

Local Health, Inc

Doing business as Elmwood Pharmacy

  • Community/Retail Pharmacy
  • Elmwood, IL
National Provider Identifier
1457358202
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054019803 Issued in IL
Legal business name
LOCAL HEALTH, INC
Doing business as
Elmwood Pharmacy
Practice address
108 E Main St
Elmwood, IL 61529-7963
Phone
(309) 742-2611
Fax
(309) 742-3261
NPI assigned
Jul 7, 2005
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Selma Dzelil, PHARM.D
Title
Supervisor
Phone
(815) 715-8502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054019803 IL Primary

Addresses

Primary practice location

108 E Main St
Elmwood, IL 61529-7963

Mailing address

108 E Main St
Elmwood, IL 61529-7963
Phone (309) 742-2611

Other identifiers 2

IdentifierTypeStateIssuer
2154480OtherPK
362746843001MedicaidIL

Other names 1

  • Elmwood Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abingdon Telepharmacy4 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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1457358202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615297963",
            "telephone_number": "309-742-2611",
            "fax_number": "309-742-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615297963",
            "telephone_number": "309-742-2611",
            "fax_number": "309-742-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "DZELIL",
        "authorized_official_first_name": "SELMA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "815-715-8502",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054019803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154480",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362746843001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elmwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.