1918 Winter Street Operating Co LLC
Pharmacy, Community/Retail Pharmacy in Crystal Lake, Illinois
1114775897- Practice location
- 105 Northwest Hwy, Crystal Lake, IL 60014-7951
- Phone
- 815-261-4733
- Fax
- 815-261-4736
- Last updated
- July 24, 2024
1918 Winter Street Operating Co LLC is a healthcare organization based in Crystal Lake, IL. 1918 Winter Street Operating Co LLC practices in Crystal Lake, IL. The NPI Number for 1918 Winter Street Operating Co LLC is 1114775897. The current practice location address for 1918 Winter Street Operating Co LLC is 105 Northwest Hwy, Crystal Lake, IL 60014-7951 and can be reached out via phone at 815-261-4733 and via fax at 815-261-4736.
Provider Profile Details
- NPI Number
- 1114775897
- Provider Name
- 1918 Winter Street Operating Co LLC
- Provider Entity Type
- Organization
- Address
- 105 Northwest Hwy, Crystal Lake, IL 60014-7951
- Phone Number
- 815-261-4733
- Fax Number
- 815-261-4736
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kevin Mcnamara · Authorized Person · 603-354-4619
- Other Names
- Mariano'S Pharmacy #0544 (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
- 105 Northwest Hwy
Crystal Lake, IL 60014-7951 - City
- Crystal Lake
- State
- Illinois
- Zip
- 60014-7951
- Phone Number
- 815-261-4733
- Fax Number
- 815-261-4736
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 (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Crystal Lake, IL
View all Pharmacy, Community/Retail Pharmacy providers in Crystal Lake →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 1114775897. 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 105 Northwest Hwy, Crystal Lake, IL 60014-7951. The office can be reached at 815-261-4733 (phone) or 815-261-4736 (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 1114775897 directly on the NPPES registry website.