Organization Active NPI

Family Care Pharmacy of Breese Inc

Doing business as Family Care Pharmacy

  • Community/Retail Pharmacy
  • Breese, IL
National Provider Identifier
1508963349
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054018542 Issued in IL
Legal business name
FAMILY CARE PHARMACY OF BREESE INC
Doing business as
Family Care Pharmacy
Practice address
20 N 4TH St
Breese, IL 62230-1436
Phone
(618) 526-2800
Fax
(618) 526-0761
NPI assigned
Sep 20, 2006
Last updated
Jun 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2025

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

Authorized official

Name
Jennifer Santel, RPHNPI 1396878948
Title
President
Phone
(618) 526-2800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054018542 IL Primary

Addresses

Primary practice location

20 N 4TH St
Breese, IL 62230-1436

Mailing address

20 N 4TH St
Breese, IL 62230-1436
Phone (618) 526-2800

Other names 1

  • FAMILY CARE PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141007001987 IL Part B Supplier - Mass Immunization (Roster Biller Only) 5193956522 Practice locations: Breese, IL

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748736000000",
    "number": "1508963349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N 4TH ST",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301436",
            "telephone_number": "618-526-2800",
            "fax_number": "618-526-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 4TH ST",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301436",
            "telephone_number": "618-526-2800",
            "fax_number": "618-526-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PHARMACY OF BREESE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A",
        "authorized_official_last_name": "SANTEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-526-2800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breese, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.