New Venture Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0054013607 Issued in IL

Legal business name

NEW VENTURE PHARMACY

Practice address

815 Lincoln Hwy Ste 103
Fairview Heights, IL 62208-2230

Phone

(618) 628-8868

Fax

(618) 628-9247

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Larry Anderson

Title

Pharmacist

Phone

(618) 628-8868

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Alex Manera, OD

  • Optometrist
  • Fairview Heights, IL
  • NPI 1316284847
  NPD (past)
• Nicholas Whitesides, OD

  • Optometrist
  • Fairview Heights, IL
  • NPI 1740142322
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801957444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LINCOLN HWY STE 103",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082230",
            "telephone_number": "618-628-8868",
            "fax_number": "618-628-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LINCOLN HWY STE 103",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082230",
            "telephone_number": "618-628-8868",
            "fax_number": "618-628-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VENTURE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "618-628-8868"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "0054013607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Nangia, PA-C
• Lydia Neal
• Abigail Nedved, MA, QMHP
• Shundrea Neely, HAIR LOSS SPECIALIST
• Neuropsychiatric Partners, PC
• Dana Lynn Norris, PT
• Susan Norsigian, LCPC
• Northland Hearing Center, Inc. (Southwestern Hearing Center)
• Fred O'Dell Jr.
• Laura Christine O'Leary, FNP

• Community/Retail Pharmacy in Fairview Heights, IL
• Providers in Fairview Heights, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.