Cains Drug Store Inc

Key facts

NPI

1538084777

Entity type

Organization (NPI type 2)

Primary specialty

Long Term Care Pharmacy 3336L0003X

Legal business name

CAINS DRUG STORE INC

Practice address

1401 N 8TH St
Vandalia, IL 62471-1028

Phone

(618) 283-0196

Fax

(618) 283-9150

NPI assigned

Aug 13, 2026

Organization subpart

No

Authorized official

Name

Darryl Paul Tjaden, RPH

Title

Vice President

Phone

(618) 283-0196

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cains Drug Store Inc Community/Retail Pharmacy · Vandalia, IL · NPI 1568486165
  NPD tax ID

Laboratory certificates & supplier records

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

CLIA laboratory certificates

National Provider Directory

Tax ID family

Cains Drug Store Inc (2 organizations share this tax ID)

Specialties & licenses

Addresses

Other names

• Cain's Drug Store LTC Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2026.

{
    "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"
        }
    ]
}

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• Robert Butts, MD
• Cains Drug Store Inc
• Alivia Cao, DDS
• Mattie Rose Carter
• Carl A Castle, DO
• Kevin Jay Childers, OD

All providers in Vandalia, IL · Long Term Care Pharmacy in Illinois