American Drug Stores LLC
Pharmacy, Community/Retail Pharmacy in Moline, IL. Organization (NPI-2).
NPI number1962458596
StatusActive
Last updated in NPPESJul 20, 2018
Details
- NPI
- 1962458596
- 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 | 054-005378 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Osco Drug #0122 (Doing Business As)
Practice location
2014 1st Street AMoline, IL 61265
Phone 309-797-9320 · Fax 309-797-0199
Mailing address
250 E Parkcenter BlvdMailstop Sec2-B
Boise, ID 83706-3940
Authorized official
Tiffany Eliopulos
Assistant Manager, Enrollments
2083953906
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Community/Retail Pharmacy providers in Moline · All 1,357 providers in Moline
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