ENDRIS PHARMACY INC NPI 1932213907

NPI Information

  • NPI: 1932213907
  • Provider Name: ENDRIS PHARMACY INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 109 S LOCUST ST
    PANA, IL
    ZIP 62557
  • Phone: (217) 562-2232

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NPI Details

ENDRIS PHARMACY INC is a pharmacy in Pana, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ENDRIS PHARMACY INC NPI is 1932213907. The provider is registered as an organization entity type.

The provider's business location address is:

109 S LOCUST ST
PANA, IL
ZIP 62557-429
Phone: (217) 562-2232
Fax: (217) 562-2485

The provider's authorized official is Harold Endris .
The authorized official title is Owner and has the following contact phone number (217) 562-2232.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 4/20/2008.

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 PharmacyNo
2333600000XPharmacyILLINOISYes

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
10247370001MEDICARE NSC
2=========001MEDICAIDILLINOIS
31401417OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
41401417OTHEROTHER ID NUMBER

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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