American Drug Stores LLC
Pharmacy, Community/Retail Pharmacy in Aurora, IL. Organization (NPI-2).
NPI number1366498289
StatusActive
Last updated in NPPESJul 20, 2018
Details
- NPI
- 1366498289
- Entity type
- Organization (NPI-2)
- Legal business name
- American Drug Stores LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2006
- Last updated
- Jul 20, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 054-004550 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Osco Drug #4252 (Doing Business As)
Practice location
1950 W Galena BlvdAurora, IL 60506
Phone 630-892-9075 · Fax 630-892-4598
Mailing address
250 E Parkcenter BlvdMailstop Sec2-B
Boise, ID 83706-3940
Authorized official
Tiffany Eliopulos
Assistant Manager, Enrollments
2083953906
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