HIDEG PHARMACY INC NPI 1770687782

NPI Information

  • NPI: 1770687782
  • Provider Name: HIDEG PHARMACY INC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 8601 W MAIN ST STE 104
    BELLEVILLE, IL
    ZIP 62223
  • Phone: (618) 398-4400

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NPI Details

HIDEG PHARMACY INC is a prosthetic orthotic supplier in Belleville, IL. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. HIDEG PHARMACY INC NPI is 1770687782. The provider is registered as an organization entity type.

The provider's business location address is:

8601 W MAIN ST STE 104
BELLEVILLE, IL
ZIP 62223-788
Phone: (618) 398-4400
Fax: (618) 398-4401

The provider's authorized official is Michael Day .
The authorized official title is President and has the following contact phone number (618) 398-4400.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 10/13/2025.

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
13336L0003XPharmacyLong Term Care Pharmacy054009963ILLINOISNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail Pharmacy054009963ILLINOISNo
4335E00000XProsthetic/Orthotic SupplierYes

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
11409893OTHERNABP

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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