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OKAWVILLE PHARMACY
NPI 1174610026
Pharmacy - Community/Retail Pharmacy in Okawville, IL

Active since October 10, 2006
403 N HANOVER, OKAWVILLE, IL 62271(618) 243-6228(618) 243-5608 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Okawville Pharmacy NPPES

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

OKAWVILLE PHARMACY (NPI 1174610026) is a healthcare organization registered as a community/retail pharmacy in Okawville, Illinois and active in the NPI registry since October 2006. The organization lists Tim Rallo, President, as its authorized official.

NPPES Registry Identity

NPI1174610026
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOKAWVILLE PHARMACY
Location Address403 N HANOVEROkawville, IL 62271
Mailing Address403 N Hanover, P.o. Box 424Okawville, IL 62271 · (618) 243-6228 · Fax (628) 243-5608
Phone(618) 243-6228
Fax(618) 243-5608
Organization SubpartNo
Authorized OfficialTim RalloPresident · (618) 243-6228
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 8, 2011
✔ NPI 1174610026 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 · 054011091
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 ListedPharmacyTaxonomy 333600000X
403 N HANOVER, Okawville, IL 62271
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Other Names 1

Doing Business AsOkawville Pharmacy

Other Identifiers 3

Other1438680Ncpdp Provider Identification Number
Other1485374IL · Ncpdp
Medicaid371134674001IL

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 Okawville Pharmacy's NPI number?

The NPI number for Okawville Pharmacy is 1174610026. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Okawville Pharmacy located?

Okawville Pharmacy is located at 403 N Hanover, Okawville, IL 62271. The listed phone number is (618) 243-6228.

What is Okawville Pharmacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Okawville Pharmacy was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.