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OSCO DRUG #3453
NPI 1124074653
Pharmacy - Community/Retail Pharmacy in Fox Lake, IL

Active since May 26, 2006CLIA 14D2304663 · Waiver
1350 S ROUTE 12, FOX LAKE, IL 60020(847) 587-4206(847) 587-4731 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Osco Drug #3453 NPPES

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

OSCO DRUG #3453 (NPI 1124074653) is a healthcare organization registered as a community/retail pharmacy in Fox Lake, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1124074653
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAMERICAN DRUG STORES LLC
Location Address1350 S ROUTE 12Fox Lake, IL 60020
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940
Phone(847) 587-4206
Fax(847) 587-4731
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollment · (208) 395-3906
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 9, 20182 updates tracked since enumeration
✔ NPI 1124074653 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 · 054-013731
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
1350 S ROUTE 12, Fox Lake, IL 60020
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Other Names 1

Doing Business AsOsco Drug #3453

Other Identifiers 2

Other2024054Pk
Medicaid=========057IL

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 14D2304663

Osco Drug #3453 · Fox Lake, IL
Active · expires May 15, 2028
CLIA Number14D2304663
Laboratory TypePharmacy
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorRachel T. Russell
Laboratory Phone(847) 587-4206
Laboratory LocationOsco Drug #34531350 S Us Highway 12, Fox Lake, IL 60020
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 4

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

KRISTINA TRUONG
Pharmacist
1350 S ROUTE 12
FOX LAKE, IL 60020
Lake County (847) 973-9075
MICHL SCHMIDT
Pharmacist
1350 S ROUTE 12
FOX LAKE, IL 60020
Lake County (847) 587-4206
DR. NAVNEET SINGH PHARM.D
Pharmacist
1350 S ROUTE 12
FOX LAKE, IL 60020
Lake County (847) 587-4206
NADEJDA LOSSEVA
Pharmacist
1350 S ROUTE 12
FOX LAKE, IL 60020
Lake County (847) 587-4206

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 1124074653. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Osco Drug #3453.

Where is American Drug Stores LLC located?

American Drug Stores LLC is located at 1350 S Route 12, Fox Lake, IL 60020. The listed phone number is (847) 587-4206.

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 14D2304663) is associated with this NPI, valid through May 15, 2028. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.