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GROCERIES OF SOUTHERN ILLINOIS LLC NPI 1841620960


NPI Information

NPI: 1841620960
Provider Name: GROCERIES OF SOUTHERN ILLINOIS LLC

Doing Business As: NEW ATHENS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
901 SPOTSYLVANIA ST
NEW ATHENS, IL
ZIP 62264
Phone: (618) 566-6843
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GROCERIES OF SOUTHERN ILLINOIS LLC is a community/retail pharmacy pharmacy in New Athens, IL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GROCERIES OF SOUTHERN ILLINOIS LLC NPI is 1841620960. The provider is registered as an organization entity type.
The provider Is Doing Business As New Athens Pharmacy.

The provider's business location address is:

901 SPOTSYLVANIA ST
NEW ATHENS, IL
ZIP 62264-569
Phone: (618) 566-6843
Fax: (618) 475-9219

The provider's authorized official is Bryan Schneider .
The authorized official title is Director Of Pharmacy and has the following contact phone number (618) 539-5577.

The enumeration date for this NPI number is 11/27/2013 and was last updated on 10/15/2021.


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 Pharmacy054018344ILLINOISYes

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
12143033OTHERPK
2371239582001MEDICAIDILLINOIS

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: 5/5/2024

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