OSCO DRUG #2517
NPI 1083660476
Pharmacy - Community/Retail Pharmacy in Crystal Lake, IL

Active since May 26, 2006CLIA 14D1032959 · Waiver
6140 NORTHWEST HWY, CRYSTAL LAKE, IL 60014(815) 356-8767(815) 356-8790 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2018, Jan 12, 2016 (2 updates tracked since 2016).

About Osco Drug #2517 NPPES

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

OSCO DRUG #2517 (NPI 1083660476) is a healthcare organization registered as a community/retail pharmacy in Crystal Lake, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Tiffany Eliopulos, Assistant Manager, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1083660476
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAMERICAN DRUG STORES LLC
Location Address6140 NORTHWEST HWYCrystal Lake, IL 60014
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940
Fax(815) 356-8790
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollment · (208) 395-3906
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 9, 20182 updates tracked since enumeration
NPI 1083660476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in IL · 054-013866
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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
6140 NORTHWEST HWY, Crystal Lake, IL 60014

Other Names 1

Doing Business AsOsco Drug #2517

Other Identifiers 2

Medicaid=========149IL
Other2022596Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1032959

Osco Drug #2517 · Crystal Lake, IL
Active · expires Oct 31, 2026
CLIA Number14D1032959
Laboratory TypePharmacy
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorRachel Russell
Laboratory Phone(815) 356-8592
Laboratory LocationOsco Drug #25176140 Northwest Hwy, Crystal Lake, IL 60014
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20674661
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles

Other Providers at the Same Location NPPES 5

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

Pharmacist
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
Pharmacist
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
Pharmacist
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
Pharmacist
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
Pharmacist
6140 NORTHWEST HWY
CRYSTAL LAKE, IL 60014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083660476, enumerated as an "organization" on May 26, 2006.

The provider is located at 6140 NORTHWEST HWY CRYSTAL LAKE, IL 60014 and the phone number is (815) 356-8767.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.