NPIMap

Organization Active NPI

Felker Pharmacy Inc

Doing business as Dixon Snyder Pharmacy

  • Community/Retail Pharmacy
  • Dixon, IL
National Provider Identifier
1780625640
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
54015538 Issued in IL
Legal business name
FELKER PHARMACY INC
Doing business as
Dixon Snyder Pharmacy
Practice address
301 N Galena Ave
Dixon, IL 61021-2113
Phone
(815) 284-8000
Fax
(815) 284-8005
NPI assigned
Jun 9, 2006
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 Felker
Title
President
Phone
(815) 234-5466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 54015538 IL Primary

Addresses

Primary practice location

301 N Galena Ave
Dixon, IL 61021-2113

Mailing address

301 N Galena Ave
Dixon, IL 61021-2113
Phone (815) 284-8000

Other identifiers 1

IdentifierTypeStateIssuer
2021835OtherPK

Other names 1

  • Dixon Snyder Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1780625640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212113",
            "telephone_number": "815-284-8000",
            "fax_number": "815-284-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212113",
            "telephone_number": "815-284-8000",
            "fax_number": "815-284-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELKER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "815-234-5466"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "54015538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2021835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dixon Snyder Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dixon, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.