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BYRD-WATSON TIMES SQUARE DRUG CO
NPI 1043997182
Pharmacy - Long Term Care Pharmacy in Mount Vernon, IL

Active since June 30, 2023
3401 BROADWAY ST, MOUNT VERNON, IL 62864(618) 244-5400 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Byrd-watson Times Square Drug Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BYRD-WATSON TIMES SQUARE DRUG CO (NPI 1043997182), doing business as Byrd-watson Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Mount Vernon, Illinois and active in the NPI registry since June 2023. The organization lists Adam Breeze, Officer Of The Corporation, as its authorized official.

NPPES Registry Identity

NPI1043997182
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBYRD-WATSON TIMES SQUARE DRUG CO
Location Address3401 BROADWAY STMount Vernon, IL 62864-2201
Mailing AddressPo Box 1179Mount Vernon, IL 62864-0024 · (618) 244-5400 · Fax (618) 244-5409
Phone(618) 244-5400
Organization SubpartNo
Authorized OfficialAdam BreezeOfficer Of The Corporation · (618) 244-5400
Enumeration DateJune 30, 2023
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1043997182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
3401 BROADWAY ST, Mount Vernon, IL 62864
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Other Names 1

Doing Business AsByrd-watson Pharmacy Ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA OLSEN PHARMD
Pharmacist
3401 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-5400
JANE ILES RPH
Pharmacist
3401 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-5400
CHRISTOPHER MICHAEL HERMAN RPH
Pharmacist (Pharmacotherapy)
3401 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-5400
BYRD-WATSON TIMES SQUARE DRUG CO
Pharmacy (Community/Retail Pharmacy)
3401 BROADWAY ST
MOUNT VERNON, IL 62864
Jefferson County (618) 244-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Byrd-Watson Times Square Drug Co's NPI number?

The NPI number for Byrd-Watson Times Square Drug Co is 1043997182. It was assigned to this organization in the NPPES registry on June 30, 2023. The provider is doing business as Byrd-Watson Pharmacy LTC.

Where is Byrd-Watson Times Square Drug Co located?

Byrd-Watson Times Square Drug Co is located at 3401 Broadway St, Mount Vernon, IL 62864. The listed phone number is (618) 244-5400.

What is Byrd-Watson Times Square Drug Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Byrd-Watson Times Square Drug Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 35 other insurers list Byrd-Watson Times Square Drug Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Byrd-Watson Times Square Drug Co was last updated on April 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.