CHANNAHON RANCH PHARMACY INC NPI 1740211218

NPI Information

  • NPI: 1740211218
  • Provider Name: CHANNAHON RANCH PHARMACY INC
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • Address: 24715 W EAMES ST
    CHANNAHON, IL
    ZIP 60410
  • Phone: (815) 467-6090

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NPI Details

CHANNAHON RANCH PHARMACY INC is a pharmacist in Channahon, IL. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. CHANNAHON RANCH PHARMACY INC NPI is 1740211218. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

24715 W EAMES ST
CHANNAHON, IL
ZIP 60410-192
Phone: (815) 467-6090
Fax: (815) 467-6167

The provider's authorized official is Louis B Kaducak .
The authorized official title is President and has the following contact phone number (815) 467-6090.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/17/2012.

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
1183500000XPharmacist054004856ILLINOISYes

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
11278180001MEDICARE NSC
2=========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: 11/21/2025

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