ST MARYS HOSPITAL - KANKAKEE LLC
NPI 1225838717
Pharmacy - Community/Retail Pharmacy in Kankakee, IL

NPI Status: Active since March 14, 2025

Contact Information

555 W COURT ST STE 101
KANKAKEE, IL
ZIP 60901
Phone: (815) 936-5156

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • CLIA Number: 14D0688617
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-20-2027

About ST MARYS HOSPITAL - KANKAKEE LLC

This page provides the complete NPI Profile along with additional information for St Marys Hospital - Kankakee Llc, a provider established in Kankakee, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1225838717 assigned on March 2025. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Christopher Doan (Managing Associate General Counsel)

NPI
1225838717
Provider Name
ST MARYS HOSPITAL - KANKAKEE LLC
Entity Type
Organization
Location Address
555 W COURT ST STE 101 KANKAKEE, IL 60901
Location Phone
(815) 936-5156
Mailing Address
555 W COURT ST STE 101 KANKAKEE, IL 60901
Mailing Phone
(815) 936-5156
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2025
Last Update Date
03-14-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER DOAN

Authorized Official Title
MANAGING ASSOCIATE GENERAL COUNSEL
Authorized Official Phone
(310) 259-4706

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0688617
Facility Type
Hospital
Certificate Effective Date
August 21, 2025
Certificate Expiration Date
August 20, 2027
Laboratory Director
DR. KALISHA A. HILL
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St Marys Hospital - Kankakee Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225838717, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 8 → 16 → 7 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 1 + 6 + 3 + 1 + 6 + 7 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1225838717.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225838717, enumerated as an "organization" on March 14, 2025.

The provider is located at 555 W COURT ST STE 101 KANKAKEE, IL 60901 and the phone number is (815) 936-5156.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.