Shapiro Developmental Center Pharmacy

LBN: Illinois Department Of Human
Shapiro Developmental Center Pharmacy is an health care organization with primary practice located at 100 E Jeffery St , Kankakee IL 60901-5018. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Illinois Department Of Human can be contacted via phone (815) 939-8272, or through Sumner, Ronda Ann via phone (815) 939-8272.

Contact Information

Primary practice address
100 E Jeffery St Kankakee IL 60901-5018
Phone: (815) 939-8272
Fax: (815) 939-8274
Website:
Map and Directions
Authorized official contact:
Name: Sumner, Ronda Ann RPH
Phone: (815) 939-8272

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 054.020222 Illinois

Profile Details

NPI number 1528111424
LBN Legal business name Illinois Department Of Human
DBA Doing business as Shapiro Developmental Center Pharmacy
Authorized official Sumner, Ronda Ann RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 13th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528111424 NPPES
Other 2023336 PK

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