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OSCO DRUG #3405
NPI 1285680967
Pharmacy - Community/Retail Pharmacy in Gurnee, IL

Active since May 25, 2006CLIA 14D1033166 · Waiver
6507 GRAND AVE, GURNEE, IL 60031(847) 855-0990(847) 855-0997 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2018, May 14, 2018, Jan 11, 2016 (3 updates tracked since 2016).

About Osco Drug #3405 NPPES

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

OSCO DRUG #3405 (NPI 1285680967) is a healthcare organization registered as a community/retail pharmacy in Gurnee, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Tiffany Eliopulos, Enrollment Assistant Manager, as its authorized official.

NPPES Registry Identity

NPI1285680967
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAMERICAN DRUG STORES LLC
Location Address6507 GRAND AVEGurnee, IL 60031
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940
Phone(847) 855-0990
Fax(847) 855-0997
Organization SubpartNo
Authorized OfficialTiffany EliopulosEnrollment Assistant Manager · (208) 395-3906
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 28, 20183 updates tracked since enumeration
✔ NPI 1285680967 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 · 054-012024
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
6507 GRAND AVE, Gurnee, IL 60031
Open in Google Maps ↗

Other Names 1

Doing Business AsOsco Drug #3405

Other Identifiers 2

Medicaid=========070IL
Other2023396Pk

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 14D1033166

Osco Drug #3405 · Gurnee, IL
Active · expires Nov 4, 2026
CLIA Number14D1033166
Laboratory TypePharmacy
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorRachel Russell
Laboratory Phone(847) 855-0990
Laboratory LocationOsco Drug #34056507 Grand Ave, Gurnee, IL 60031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Osco Drug #3405 carries, from the Medicare DMEPOS supplier directory.

Osco Drug #3405

DMEPOS supplier · Gurnee, ILOperated by American Drug Stores LLC
⋮

Does not accept Medicare assignment

Osco Drug #3405 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20675111
Medicare Participant SinceOctober 1, 1989
Supplier Location6507 Grand AveGurnee, IL 60031
Phone(847) 855-0990
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

DR. BIBIANA AULENTA PHARMD
Pharmacist
6507 GRAND AVE
GURNEE, IL 60031
Lake County (847) 855-0990
CORINNE REED
Pharmacist
6507 GRAND AVE
GURNEE, IL 60031
Lake County (847) 855-0990

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 1285680967. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Osco Drug #3405.

Where is American Drug Stores LLC located?

American Drug Stores LLC is located at 6507 Grand Ave, Gurnee, IL 60031. The listed phone number is (847) 855-0990.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Osco Drug #3405 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does American Drug Stores LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1033166) is associated with this NPI, valid through November 4, 2026. 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 June 28, 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.