Organization Active NPI

Cains Drug Store Inc

Doing business as Cain's Drug Store LTC

  • Long Term Care Pharmacy
  • Vandalia, IL
National Provider Identifier
1538084777
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CAINS DRUG STORE INC
Doing business as
Cain's Drug Store LTC
Practice address
1401 N 8TH St
Vandalia, IL 62471-1028
Phone
(618) 283-0196
Fax
(618) 283-9150
NPI assigned
Aug 13, 2026
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Darryl Paul Tjaden, RPHNPI 1467055160
Title
Vice President
Phone
(618) 283-0196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1401 N 8TH St
Vandalia, IL 62471-1028

Mailing address

1401 N 8TH St
Vandalia, IL 62471-1028
Phone (618) 283-0196

Other names 1

  • Cain's Drug Store LTC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2289014Cain's Drug Store Inc1401 N 8TH St, Vandalia, IL 62471Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cains Drug Store Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1538084777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N 8TH ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711028",
            "telephone_number": "618-283-0196",
            "fax_number": "618-283-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 8TH ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711028",
            "telephone_number": "618-283-0196",
            "fax_number": "618-283-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAINS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "TJADEN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-283-0196",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cain's Drug Store LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.