MEDICATION MANAGEMENT PARTNERS NPI 1740512094

NPI Information

  • NPI: 1740512094
  • Provider Name: MEDICATION MANAGEMENT PARTNERS
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEDICATION MANAGEMENT PARTNERS, LLC
  • CLIA Number: 14D2196905
  • Address: 13601 KENTON AVE
    CRESTWOOD, IL
    ZIP 60418
  • Phone: (708) 752-8000

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NPI Details

MEDICATION MANAGEMENT PARTNERS is a long term care pharmacy pharmacy in Crestwood, IL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MEDICATION MANAGEMENT PARTNERS NPI is 1740512094. The provider is registered as an organization entity type.
The provider Is Doing Business As Medication Management Partners, Llc.

The provider's business location address is:

13601 KENTON AVE
CRESTWOOD, IL
ZIP 60418-938
Phone: (708) 752-8000
Fax: (708) 752-8011

The provider's authorized official is Labinot Avdiu .
The authorized official title is Ceo/pharmacist and has the following contact phone number (708) 752-8000.

The CLIA number assigned to this NPI record is 14D2196905 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)

The enumeration date for this NPI number is 2/10/2010 and was last updated on 4/14/2022.

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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy054016830ILLINOISYes

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
12123818OTHERPK

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: 3/30/2025

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