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11 SOUTH MEDICAL PHARMACY, LLC
NPI 1194247080
Pharmacy in Columbia, IL

Active since July 12, 2017
1000 ELEVEN SOUTH, STE 2B, COLUMBIA, IL 62236(618) 281-3500 Get Directions Write a Review

NPPES record last updated: July 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2017, Jul 19, 2017 (2 updates tracked since 2017).

About 11 South Medical Pharmacy, Llc NPPES

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

11 SOUTH MEDICAL PHARMACY, LLC (NPI 1194247080) is a healthcare organization registered as a pharmacy in Columbia, Illinois and active in the NPI registry since July 2017. The organization lists Kelsie Lider, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1194247080
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business Name11 SOUTH MEDICAL PHARMACY, LLC
Location Address1000 ELEVEN SOUTH, STE 2BColumbia, IL 62236
Mailing Address1000 Eleven S Ste 2bColumbia, IL 62236-1079 · (618) 281-3500
Phone(618) 281-3500
Organization SubpartNo
Authorized OfficialKelsie LiderPharmacy Manager · (618) 281-3500
Enumeration DateJuly 12, 2017
Last NPPES UpdateJuly 28, 20172 updates tracked since enumeration
✔ NPI 1194247080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in IL · 054020346
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1000 ELEVEN SOUTH, Columbia, IL 62236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

SYNERGY THERAPEUTICS, PC
Dentist
1000 ELEVEN SOUTH, SUITE 3F
COLUMBIA, IL 62236
Monroe County (618) 281-9729

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 11 South Medical Pharmacy, LLC's NPI number?

The NPI number for 11 South Medical Pharmacy, LLC is 1194247080. It was assigned to this organization in the NPPES registry on July 12, 2017.

Where is 11 South Medical Pharmacy, LLC located?

11 South Medical Pharmacy, LLC is located at 1000 Eleven South Ste 2B, Columbia, IL 62236. The listed phone number is (618) 281-3500.

What is 11 South Medical Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does 11 South Medical Pharmacy, LLC accept?

Health plans from Medica list 11 South Medical Pharmacy, 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 11 South Medical Pharmacy, LLC was last updated on July 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.