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OSCO DRUG #3415
NPI 1083828370
Pharmacy - Community/Retail Pharmacy in Spring Grove, IL

Active since May 09, 2007CLIA 14D1072335 · Waiver
2401 ROUTE 12, SPRING GROVE, IL 60081(815) 675-6984(815) 675-9162 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2018, Jan 11, 2016 (2 updates tracked since 2016).

About Osco Drug #3415 NPPES

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

OSCO DRUG #3415 (NPI 1083828370) is a healthcare organization registered as a community/retail pharmacy in Spring Grove, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Tiffany Eliopulos, Assistant Manager, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1083828370
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAMERICAN DRUG STORES LLC
Location Address2401 ROUTE 12Spring Grove, IL 60081
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940
Phone(815) 675-6984
Fax(815) 675-9162
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollment · (208) 395-3906
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 9, 20182 updates tracked since enumeration
✔ NPI 1083828370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IL · 054-016209
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
2401 ROUTE 12, Spring Grove, IL 60081
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Other Names 1

Doing Business AsOsco Drug #3415

Other Identifiers 2

Other2023524Pk
Medicaid=========415IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.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 14D1072335

Osco Drug #3415 · Spring Grove, IL
Active · expires Aug 13, 2027
CLIA Number14D1072335
Laboratory TypePharmacy
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorRachel Russell
Laboratory Phone(815) 675-6984
Laboratory LocationOsco Drug #34152401 N Us Hwy 12, Spring Grove, IL 60081
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. NADINE PANAGAKIS PHARMD
Pharmacist
2401 ROUTE 12
SPRING GROVE, IL 60081
McHenry County (815) 675-6984

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 American Drug Stores LLC's NPI number?

The NPI number for American Drug Stores LLC is 1083828370. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Osco Drug #3415.

Where is American Drug Stores LLC located?

American Drug Stores LLC is located at 2401 Route 12, Spring Grove, IL 60081. The listed phone number is (815) 675-6984.

What is American Drug Stores LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does American Drug Stores LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1072335) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does American Drug Stores LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 42 other insurers list American Drug Stores LLC 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 American Drug Stores LLC was last updated on July 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.