NAUVOO PHARMACY, PLLC
NPI 1205078847
Pharmacy - Community/Retail Pharmacy in Nauvoo, IL

Q: What is Nauvoo Pharmacy, PLLC's NPI number?

The NPI number for Nauvoo Pharmacy, PLLC is 1205078847. It was assigned to this organization in the NPPES registry on March 27, 2009.

Q: What is Nauvoo Pharmacy, PLLC's specialty?

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

Active since March 27, 2009CLIA 14D2277478 · Waiver

1350 MULHOLLAND STREET, NAUVOO, IL 62354(217) 453-2717(217) 453-6456 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2023, Oct 28, 2022 (2 updates tracked since 2022).

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About Nauvoo Pharmacy, Pllc NPPES

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

NAUVOO PHARMACY, PLLC (NPI 1205078847) is a healthcare organization registered as a community/retail pharmacy in Nauvoo, Illinois and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Mattie Ann Haas, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1205078847

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameNAUVOO PHARMACY, PLLC

Location Address1350 MULHOLLAND STREETNauvoo, IL 62354

Mailing AddressPo Box 248, 1350 Mulholland StreetNauvoo, IL 62354 · (217) 453-2717 · Fax (217) 453-6456

Phone(217) 453-2717

Fax(217) 453-6456

Organization SubpartNo

Authorized OfficialMattie Ann HaasPharmacist/owner · (217) 453-2717

Enumeration DateMarch 27, 2009

Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2023

✔ NPI 1205078847 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 · 054007478

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 · License 054007478 (IL)

1350 MULHOLLAND STREET, Nauvoo, IL 62354

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Other Identifiers 1

Medicaid3711031796235401IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 14D2277478

Nauvoo Pharmacy PLLC · Nauvoo, IL

Active · expires Feb 27, 2027

CLIA Number14D2277478

Laboratory TypePharmacy

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorLauren Carlisle

Laboratory Phone(217) 453-2717

Laboratory LocationNauvoo Pharmacy PLLC1350 Mulholland St, Nauvoo, IL 62354

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

105 services103 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

98 services98 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

21 services21 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

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 Nauvoo Pharmacy, PLLC's NPI number?

The NPI number for Nauvoo Pharmacy, PLLC is 1205078847. It was assigned to this organization in the NPPES registry on March 27, 2009.

Where is Nauvoo Pharmacy, PLLC located?

Nauvoo Pharmacy, PLLC is located at 1350 Mulholland Street, Nauvoo, IL 62354. The listed phone number is (217) 453-2717.

What is Nauvoo Pharmacy, PLLC's specialty?

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

Does Nauvoo Pharmacy, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2277478) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nauvoo Pharmacy, PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Nauvoo Pharmacy, PLLC 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 Nauvoo Pharmacy, PLLC was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.