Organization Active NPI

Warren Drug Store, Inc.

Doing business as Warren Drug Store

  • Pharmacy
  • Warren, IL
National Provider Identifier
1942388038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karrie SabinsonNPI 1760079222
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33271100MedicaidWI

Other names 1

  • Warren Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Warren Drug Store, Inc.137 E Main St, Warren, IL 61087-9367(815) 745-3700 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf|Ostomy Supplies|Surgical Dressings Accepts assignmentParticipating since Sep 18, 2003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.