Vorac Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054018779 Issued in IL

Legal business name

VORAC PHARMACY LLC

Doing business as

Vorac Pharmacy

Practice address

114 S State St
Geneseo, IL 61254-1348

Phone

(309) 944-2166

Fax

(309) 944-3574

NPI assigned

Oct 3, 2012

Last updated

Aug 16, 2016By 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

Nathan VoracNPI 1215289830

Title

Owner

Phone

(309) 944-2166

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Vorac Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Tax ID family

Vorac Pharmacy LLC2 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.

• Vorac Pharmacy LLC

  • Long Term Care Pharmacy
  • Geneseo, IL
  • NPI 1740745116
  NPD tax ID

Locations

Practitioners 1

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.

• Nathan Vorac, PHARM.D

  • Pharmacist
  • Geneseo, IL
  • NPI 1215289830
  Authorized official Same address or phone

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1871845776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S STATE ST",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541348",
            "telephone_number": "309-944-2166",
            "fax_number": "309-944-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S STATE ST",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541348",
            "telephone_number": "309-944-2166",
            "fax_number": "309-944-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VORAC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "VORAC",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-944-2166"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307027502001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vorac Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Albert Teijido, DPT
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Geneseo Village)
• Julie Theill
• Drew R Van Kerrebroeck, MD
• Vorac Pharmacy LLC
• Nathan Vorac, PHARM.D
• Aaron Thomas Wachtel, D.D.S.
• Pamela Wachtel, PH.D
• Thomas Joseph Wachtel, D.D.S.
• Walgreen Co (Walgreens #12305)

• Community/Retail Pharmacy in Geneseo, IL
• Providers in Geneseo, 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 16, 2016; 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.