Active NPIOrganization

1918 Winter Street Operating Co LLC

Pharmacy, Community/Retail Pharmacy in Bannockburn, Illinois

NPI Number1114775806
Practice location
2999 Waukegan RD, Bannockburn, IL 60015-1538
Fax
847-267-0445
Last updated
July 24, 2024

1918 Winter Street Operating Co LLC is a healthcare organization based in Bannockburn, IL. 1918 Winter Street Operating Co LLC practices in Bannockburn, IL. The NPI Number for 1918 Winter Street Operating Co LLC is 1114775806. The current practice location address for 1918 Winter Street Operating Co LLC is 2999 Waukegan RD, Bannockburn, IL 60015-1538 and can be reached out via phone at 847-267-0364 and via fax at 847-267-0445.

Provider Profile Details

NPI Number
1114775806
Provider Name
1918 Winter Street Operating Co LLC
Provider Entity Type
Organization
Address
2999 Waukegan RD, Bannockburn, IL 60015-1538
Phone Number
847-267-0364
Fax Number
847-267-0445
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Kevin Mcnamara · Authorized Person · 603-354-4619
Other Names
Mariano'S Pharmacy #0542 (Doing Business As)
Provider Enumeration Date
May 8, 2024
Last Update Date
July 24, 2024
Certification Date
May 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2999 Waukegan RD
Bannockburn, IL 60015-1538
Zip
60015-1538
Phone Number
847-267-0364
Fax Number
847-267-0445
Bannockburn, IL 60015Get directions →

Provider Business Mailing Address Details

Address
7 Corporate Dr
Keene, NH 03431-5042
City
Keene
State
NH
Zip
03431-5042
Phone Number
603-354-7000

License Information

Taxonomy (2)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 1918 Winter Street Operating Co LLC?

The NPI number of 1918 Winter Street Operating Co LLC is 1114775806. It was assigned on May 8, 2024 and is currently active in the NPPES registry.

What is the specialty of 1918 Winter Street Operating Co LLC?

1918 Winter Street Operating Co LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X).

Where does 1918 Winter Street Operating Co LLC practice?

The practice location is 2999 Waukegan RD, Bannockburn, IL 60015-1538. The office can be reached at 847-267-0364 (phone) or 847-267-0445 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114775806 directly on the NPPES registry website.

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