G M Andes LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054014035 Issued in IL

Legal business name

G M ANDES LTD

Practice address

805 W Fayette Ave
Effingham, IL 62401-2415

Phone

(217) 342-9393

Fax

(217) 342-9409

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Garrett AndesNPI 1831780295

Title

Owner

Phone

(217) 342-9393

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ANDES HEALTH MART 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.

CLIA laboratory certificates

Tax ID family

G M Andes LTD2 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.

• G M Andes LTD

  • Long Term Care Pharmacy
  • Effingham, IL
  • NPI 1932609278
  NPD tax ID

Locations

Practitioners 11

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

• Garrett Andes II, RPH

  • Pharmacist
  • Effingham, IL
  • NPI 1831780295
  NPD (past) Authorized official
• Michael Andes, PHARM.D

  • Pharmacist
  • Effingham, IL
  • NPI 1780193425
  NPD
• Kirsten Mattson

  • General Practice Registered Nurse
  • Effingham, IL
  • NPI 1336727502
  NPD
• Andrew Altman, PHARM D.

  • Pharmacist
  • Effingham, IL
  • NPI 1730782095
  NPD (past)
• Amy Jo Apke, RPH

  • Pharmacist
  • Effingham, IL
  • NPI 1780803718
  NPD (past)
• Elaine Marie Blievernicht

  • Pharmacist
  • Effingham, IL
  • NPI 1942803184
  NPD (past)
• Jennifer Kabbes

  • Pharmacist
  • Effingham, IL
  • NPI 1073116059
  NPD (past)
• Bradley Steven Kuhns

  • Pharmacist
  • Effingham, IL
  • NPI 1689113748
  NPD (past)
• Marissa Lynn Palmer, PHARM.D.

  • Pharmacist
  • Effingham, IL
  • NPI 1851995369
  NPD (past)
• Lisa C Sigg, RPH

  • Pharmacist
  • Effingham, IL
  • NPI 1023174505
  NPD (past)
• Todd Verdeyen, RPH

  • Pharmacist
  • Effingham, IL
  • NPI 1780459347
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1740230481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W FAYETTE AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012415",
            "telephone_number": "217-342-9393",
            "fax_number": "217-342-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W FAYETTE AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012415",
            "telephone_number": "217-342-9393",
            "fax_number": "217-342-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G M ANDES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ANDES",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-342-9393"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054014035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019673",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371236737001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDES HEALTH MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Mae Frost, APN
• Fruitful Play Developmental Therapy Service LLC
• Kari Fulk, RN, BSN
• Cinthia Funes
• Michael Colin Funk, CRNA
• G M Andes LTD
• Marina Gabriel
• Gahcr II Effingham Alf TRS Sub, LLC
• Meredith Rachelle Gardner, M.S. CCC-SLP
• James Richard Gartner, MD

• All providers in Effingham, IL
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.