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KODO PHARMACY INC NPI 1215223755


NPI Information

NPI: 1215223755
Provider Name: KODO PHARMACY INC

Doing Business As: KODO PHARMACY, INC.

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1522 E WASHINGTON ST
JOLIET, IL
ZIP 60433
Phone: (815) 727-4721
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KODO PHARMACY INC is a community/retail pharmacy pharmacy in Joliet, IL. The provider is 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. KODO PHARMACY INC NPI is 1215223755. The provider is registered as an organization entity type.
The provider Is Doing Business As Kodo Pharmacy, Inc..

The provider's business location address is:

1522 E WASHINGTON ST
JOLIET, IL
ZIP 60433-365
Phone: (815) 727-4721
Fax: (815) 727-7839

The provider's authorized official is Chad Kodiak .
The authorized official title is President and has the following contact phone number (815) 727-4721.

The enumeration date for this NPI number is 6/23/2011 and was last updated on 9/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336S0011XPharmacySpecialty PharmacyNo
53336C0003XPharmacyCommunity/Retail Pharmacy054017695ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11485716OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
26568880001MEDICARE NSCILLINOIS
3=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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