OSCO DRUG #0202 – NPI #1558790311
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

OSCO DRUG #0202 is a pharmacy located in CHICAGO, IL. NPPES has assigned the NPI number 1558790311 to OSCO DRUG #0202 on November 02, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OSCO DRUG #0202” is a dba name, the actual legal business name for this organization is AMERICAN DRUG STORES LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 8 years ago on Jun 28, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OSCO DRUG #0202 below.

NPI Profile for
AMERICAN DRUG STORES LLC

NPI Number
1558790311
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMERICAN DRUG STORES LLC
Doing Business As (dba): OSCO DRUG #0202
Primary location
2550 N CLYBOURN AVE
CHICAGO, IL 60614
Phone: (773) 348-7421 Fax: (773) 348-8203
Mailing address
250 E PARKCENTER BLVD
MAILSTOP SEC2-B
BOISE, ID 83706-3940
Phone: (208) 395-6200 Fax: (847) 916-4736
Organization Subpart
No
Authorized Official
TIFFANY ELIOPULOS
ENROLLMENT ASSISTANT MANAGER
Phone: (208) 395-3906
Updated
Identifiers

Identifiers for OSCO DRUG #0202

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2143270
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
IL 054-018449
333600000X
- Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.