Grundy County Drug Co Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000611 Issued in IL

Legal business name

GRUNDY COUNTY DRUG CO INC

Doing business as

Morris Healthmart Morris Family Discout Drug

Practice address

2405 Sycamore Dr
Morris, IL 60450-1020

Phone

(815) 942-3660

Fax

(815) 942-3641

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Charles Funk, RPH.

Title

President

Phone

(815) 942-3662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Morris Healthmart Morris Family Discout Drug Doing business as

Locations

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1912966953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SYCAMORE DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501020",
            "telephone_number": "815-942-3660",
            "fax_number": "815-942-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 SYCAMORE DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501020",
            "telephone_number": "815-942-3660",
            "fax_number": "815-942-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNDY COUNTY DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-942-3662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3221299",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morris Healthmart Morris Family Discout Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Good Night Sleep Center LLC
• Janice Grant, LCSW
• Kimberly Ann Gregory, M.S., CCC-SLP/L
• Jennifer Christine Gromm
• Grundy Area P. a. D. S.
• Grundy County Health Department
• Grundy County Health Department
• Grundy County Health Department
• Grundy County Pain Center SC
• Grundy County Spec Educ Coop

• Durable Medical Equipment & Medical Supplies in Morris, IL
• Providers in Morris, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.