AMICARE PHARMACY INC NPI 1487720140

NPI Information

  • NPI: 1487720140
  • Provider Name: AMICARE PHARMACY, INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: HART MEDICAL SUPPLY
  • Address: 4101 JOHN DEERE RD
    MOLINE, IL
    ZIP 61265
  • Phone: (309) 517-6710

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NPI Details

AMICARE PHARMACY, INC is a durable medical equipment medical supplies in Moline, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. AMICARE PHARMACY, INC NPI is 1487720140. The provider is registered as an organization entity type.
The provider Is Doing Business As Hart Medical Supply.

The provider's business location address is:

4101 JOHN DEERE RD
MOLINE, IL
ZIP 61265-790
Phone: (309) 517-6710
Fax: (309) 517-6708

The provider's authorized official is Donna Merideth .
The authorized official title is Manager and has the following contact phone number (309) 517-6710.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/10/2015.

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
1332B00000XDurable Medical Equipment & Medical Supplies203001033ILLINOISYes

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
12021706OTHERPK
2363807756001MEDICAIDILLINOIS
36086110001MEDICARE NSC
40113120MEDICAIDIOWA

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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