Active NPI
Warren Drug Store, Inc.
Doing business as Warren Drug Store
- Pharmacy
- Warren, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- WARREN DRUG STORE, INC.
- Doing business as
- Warren Drug Store
- Practice address
- 137 East Main Street
Warren, IL 61087 - Phone
- (815) 745-3700
- Fax
- (815) 745-3663
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karrie Sabinson
- Title
- Owner/Pharmd
- Phone
- (815) 745-3700
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
137 East Main Street
Warren, IL 61087
Mailing address
137 East Main Street
PO Box 626
Warren, IL 61087
Phone (815) 745-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33271100 | Medicaid | WI |
Other names 1
- Warren Drug Store
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930043968 | IL | DME Supplier - Pharmacy | 3476761131 | Practice locations: Warren, IL |
| O20140411001151 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 3476761131 | Practice locations: Warren, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Warren Drug Store, Inc. | Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf|Ostomy Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Warren, IL
- NPI 1760079222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942388038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 EAST MAIN STREET",
"address_2": "PO BOX 626",
"city": "WARREN",
"state": "IL",
"postal_code": "61087",
"telephone_number": "815-745-3700",
"fax_number": "815-745-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 EAST MAIN STREET",
"city": "WARREN",
"state": "IL",
"postal_code": "61087",
"telephone_number": "815-745-3700",
"fax_number": "815-745-3663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN DRUG STORE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SABINSON",
"authorized_official_first_name": "KARRIE",
"authorized_official_title_or_position": "OWNER/PHARMD",
"authorized_official_telephone_number": "815-745-3700"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33271100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Warren Drug Store",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warren, IL
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.