Family Care Pharmacy of Breese Inc

Key facts

NPI

1508963349

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

054018542 (IL)

Legal business name

FAMILY CARE PHARMACY OF BREESE INC

Practice address

20 N 4TH St
Breese, IL 62230-1436

Phone

(618) 526-2800

Fax

(618) 526-0761

NPI assigned

Sep 20, 2006

Organization subpart

No

Authorized official

Name

Jennifer Santel, RPH NPI 1396878948

Title

President

Phone

(618) 526-2800

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer L. Santel, R.PH. Pharmacist · Bartelso, IL · NPI 1396878948
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• FAMILY CARE PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2025.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Breese, IL · Community/Retail Pharmacy in Illinois