NPIMap

Organization Active NPI

Felker Pharmacy Inc

Doing business as Winnebago Snyder Pharmacy

  • Community/Retail Pharmacy
  • Winnebago, IL
National Provider Identifier
1730246158
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
54014421 Issued in IL
Legal business name
FELKER PHARMACY INC
Doing business as
Winnebago Snyder Pharmacy
Practice address
101 Landmark Dr
Winnebago, IL 61088-7702
Phone
(815) 335-3535
Fax
(815) 335-1186
NPI assigned
Jan 3, 2007
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Thomas FelkerNPI 1457932188
Title
Owner
Phone
(815) 765-1300

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 NU
Community/Retail Pharmacy 3336C0003X 54014421 IL Primary

Addresses

Primary practice location

101 Landmark Dr
Winnebago, IL 61088-7702

Mailing address

PO Box 427
Winnebago, IL 61088-0427
Phone (815) 335-3535

Other identifiers 1

IdentifierTypeStateIssuer
2020779OtherPK

Other names 1

  • Winnebago Snyder Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930032003 IL DME Supplier - Pharmacy 1557481348 Practice locations: Winnebago, IL
O20130622000030 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1557481348 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Byron, IL; Dixon, IL; Oregon, IL; Poplar Grove, IL; Winnebago, IL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Felker Pharmacy Inc.101 Landmark Dr, Winnebago, IL 61088-7707(815) 335-3535 Epoetin|Immunosuppressive Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Felker Pharmacy Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

201 N 4th St
Oregon, IL 61061
Phone (815) 732-7340

101 Landmark Dr
Winnebago, IL 61088
Phone (815) 335-3535

101 Landmark Dr
Ph
Winnebago, IL 61088
Phone (815) 335-3535

Practitioners & affiliated clinicians

Practitioners 3

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1730246158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "610880427",
            "telephone_number": "815-335-3535",
            "fax_number": "815-335-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LANDMARK DR",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "610887702",
            "telephone_number": "815-335-3535",
            "fax_number": "815-335-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELKER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "FELKER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-765-1300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "54014421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winnebago Snyder Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnebago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.