KODO CARE INC. NPI 1922416197

NPI Details

KODO CARE, INC. is a long term care pharmacy pharmacy in Joliet, 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. KODO CARE, INC. NPI is 1922416197. The provider is registered as an organization entity type.
The provider Is Doing Business As Kodo Care, Inc..

The provider's business location address is:

2401 W JEFFERSON ST STE 100
JOLIET, IL
ZIP 60435-428
Phone: (815) 727-4722
Fax: (815) 727-4731

The provider's authorized official is Chad Kodiak .
The authorized official title is Pharm D/president and has the following contact phone number (815) 727-4722.

The CLIA number assigned to this NPI record is 14D2184989 - 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.

• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
• Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source (HCPCS:G2023)
• Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
• Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS:87636)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose (HCPCS:0002A)
• Adm sarscov2 vac ad26 .5ml b (HCPCS:0034A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose (HCPCS:0001A)

The enumeration date for this NPI number is 7/31/2014 and was last updated on 9/1/2023.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.