Organization Active NPI

Bandys Apothecary Shops, Inc

Doing business as Bandy's Pharmacy II

  • Pharmacy
  • Irvington, IL
National Provider Identifier
1891736062
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BANDYS APOTHECARY SHOPS, INC
Doing business as
Bandy's Pharmacy II
Practice address
207 Huron
Irvington, IL 62848-0526
Phone
(618) 249-6905
Fax
(618) 249-8384
NPI assigned
Jun 9, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mr. Eric S Bandy, RPHNPI 1053089367
Title
President
Phone
(618) 249-6905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 054-015323 IL
Pharmacy 333600000X Primary

Addresses

Primary practice location

207 Huron
Irvington, IL 62848-0526

Mailing address

PO Box 526
Irvington, IL 62848-0526
Phone (618) 249-6905

Other names 1

  • Bandy's Pharmacy II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bandys Apothecary Shops Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

207 Huron St
Irvington, IL 62848
Phone (618) 249-6905

Practitioners & affiliated clinicians

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.

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": "1718150400000",
    "number": "1891736062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "IRVINGTON",
            "state": "IL",
            "postal_code": "628480526",
            "telephone_number": "618-249-6905",
            "fax_number": "618-249-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HURON",
            "city": "IRVINGTON",
            "state": "IL",
            "postal_code": "628480526",
            "telephone_number": "618-249-6905",
            "fax_number": "618-249-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDYS APOTHECARY SHOPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BANDY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-249-6905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "054-015323",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bandy's Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.