LV Healthcare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LV HEALTHCARE LLC

Doing business as

LV Health & Wellness Pharmacy

Practice address

1219 Thouvenot LN Ste 111
Shiloh, IL 62269-7392

Phone

(618) 589-9889

Fax

(618) 589-9880

NPI assigned

Sep 7, 2017

Last updated

Apr 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent D Williams, PHARM DNPI 1437550977

Title

Owner

Phone

(618) 589-9889

Specialties & licenses 1

Addresses

Other names 1

• LV Health & Wellness Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

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.

• Vincent Williams

  • Pharmacist
  • Deerfield, IL
  • NPI 1437550977
  NPD Authorized official

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1639697956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 THOUVENOT LN STE 111",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "618-589-9889",
            "fax_number": "618-589-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 THOUVENOT LN STE 111",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697392",
            "telephone_number": "618-589-9889",
            "fax_number": "618-589-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-589-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LV Health & Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LV Health & Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Elizabeth Lesko, NP
• Lincoln Surgical Associates, LTD.
• Paul E Loethen, MD
• Tabetha M Long, RPH
• Thomas Vinh Luong, MD
• Gaylin Manion, FNP
• Deanne Marie Marselle, RD
• Brea Anne Masching
• Sarah Maus, DPT
• Christine Marie Mayden, RN

• Community/Retail Pharmacy in Shiloh, IL
• Providers in Shiloh, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.