Wauconda Pharmacy, Inc. is a Specialty Pharmacy based in Meridian, IL and is specialized in Specialty Pharmacy. Wauconda Pharmacy, Inc. practices in Wauconda, IL. The NPI Number for Wauconda Pharmacy, Inc. is 1568571420 and holds a License No. 054-006291 (Illinois).
The current practice location address for Wauconda Pharmacy, Inc. is 222 S Main St, Wauconda, IL and can be reached out via phone at 847-526-2591 and via fax at 847-526-1598.
Location: 222 S Main St, Wauconda, IL, 39302-5047
Provider Profile Details
NPI Number
1568571420
Provider Name
Wauconda Pharmacy, Inc.
Credential
Provider Entity Type
Organization
Address
222 S Main St, Wauconda, IL, 39302-5047
Phone Number
847-526-2591
Fax Number
847-526-1598
Provider Enumeration Date
08/30/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL3147 | 01 | IL | MEDICARE PART B |
| 1428196 | 01 | IL | BCBS PHARMACY |
| 36368683001 | 05 | IL |
Provider Business Practice Location Address Details
Address
222 S Main St
City
State
Zip
60084-1828
Phone Number
847-526-2591
Fax Number
847-526-1598
Provider Business Mailing Address Details
Address
222 S Main St
City
State
Zip
60084-1828
Phone Number
847-526-2591
Fax Number
847-526-1598
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
054-006291 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
054-006291 (Illinois)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
054-006291 (Illinois)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
054-006291 (Illinois)
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
054-006291 (Illinois)
Definition
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.
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
054-006291 (Illinois)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider's Taxonomy Details 7
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
License No.
054-006291 (Illinois)
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Provider's Taxonomy Details 8
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
054-006291 (Illinois)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Provider's Taxonomy Details 9
Type
Suppliers
Classification
Pharmacy
Speciality
Mail Order Pharmacy
Taxonomy
License No.
054-006291 (Illinois)
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
Provider's Taxonomy Details 10
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
License No.
054-006291 (Illinois)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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