GARDNER PHARMACY INC NPI 1154418499

NPI Information

  • NPI: 1154418499
  • Provider Name: GARDNER PHARMACY INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 122 DEPOT
    GARDNER, IL
    ZIP 60424
  • Phone: (815) 237-2152

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NPI Details

GARDNER PHARMACY INC is a pharmacy in Gardner, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GARDNER PHARMACY INC NPI is 1154418499. The provider is registered as an organization entity type.

The provider's business location address is:

122 DEPOT
GARDNER, IL
ZIP 60424
Phone: (815) 237-2152
Fax: (815) 237-0858

The provider's authorized official is Curt Paul Trizzino .
The authorized official title is Owner and has the following contact phone number (815) 237-2152.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 11/28/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10714490001MEDICARE NSC
2363771367001MEDICAIDILLINOIS

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: 11/21/2025

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