Abada Health Source LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054018934 Issued in IL

Legal business name

ABADA HEALTH SOURCE LLC

Doing business as

Medplus Pharmacy

Practice address

511 W Fairchild St Unit B
Danville, IL 61832-3801

Phone

(217) 431-6662

Fax

(217) 442-1101

NPI assigned

Feb 10, 2015

Last updated

Feb 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fidelis Okeke

Title

Pharmacist in Charge

Phone

(217) 442-1100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MEDPLUS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1831580042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W FAIRCHILD ST UNIT B",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323801",
            "telephone_number": "217-431-6662",
            "fax_number": "217-442-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W FAIRCHILD ST UNIT B",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323801",
            "telephone_number": "217-431-6662",
            "fax_number": "217-442-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABADA HEALTH SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "FIDELIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "217-442-1100"
    },
    "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": "054018934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDPLUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer F Aardsma, LPC
• Jacqueline Marie Abbott, BS
• Rayne Abernathy
• Tuyet Nguyen Abraham, MD, MSC
• Accelerated Rehabiliation Centers LTD (Athletico Physical Therapy)
• Accolade Healthcare of Danville LLC

• Community/Retail Pharmacy in Danville, IL
• Providers in Danville, 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 Feb 10, 2015; 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.