Morr Fitz Inc
Organization Active NPI Community/Retail Pharmacy · Morrison, IL
NPI 1801076344 · NPPES record last updated Feb 9, 2018
Key facts
- NPI
- 1801076344
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- MORR FITZ INC
- Practice address
- 124 E Main St
Morrison, IL 61270-2638 - Phone
- (815) 772-3415
- Fax
- (815) 772-7240
- NPI assigned
- Nov 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Luke D Vander Bleek, PHARMACIST
- Title
- President
- Phone
- (815) 772-3415
Corporate family (same tax ID) 1
Practitioners 2
-
Luke Vander Bleek, RPH
-
Daniel Engelkens, PHARM.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081222000040 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 3870654460 | Practice locations: Morrison, IL |
| O20100930012706 | IL | DME Supplier - Pharmacy |
3870654460 | Practice locations: Morrison, IL |
National Provider Directory
- Tax ID family
- Morr Fitz Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | IL | ||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X | IL |
Addresses
Primary practice location
124 E Main St
Morrison, IL 61270-2638
Mailing address
124 E Main St
Morrison, IL 61270-2638
Phone (815) 772-3415
Other providers in Morrison, IL
- Sydney Christine Mericle
- Miller Health LLC
- John A Miller
- Marcella Alene Miner
- Morr Fitz Inc
- Morrison Community Hospital
- Morrison Community Hospital
- Morrison Community Hospital District
- Morrison Community Hospital District
- Morrison Community Hospital District
All providers in Morrison, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.