OSCO DRUG #1518
NPI 1457307373
Pharmacy - Community/Retail Pharmacy in Mchenry, IL

Active since May 25, 2006CLIA 14D1033263 · Waiver
4222 W ELM ST STE B, MCHENRY, IL 60050(815) 385-7030(815) 385-9681 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2018, Jan 11, 2016 (2 updates tracked since 2016).

About Osco Drug #1518 NPPES

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

OSCO DRUG #1518 (NPI 1457307373) is a healthcare organization registered as a community/retail pharmacy in Mchenry, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2026 and lists Tiffany Eliopulos, Assistant Manager, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1457307373
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAMERICAN DRUG STORES LLC
Location Address4222 W ELM ST STE BMchenry, IL 60050
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940
Fax(815) 385-9681
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollment · (208) 395-3906
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 13, 20182 updates tracked since enumeration
NPI 1457307373 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 · 054-003733
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
4222 W ELM ST STE B, Mchenry, IL 60050

Other Names 1

Doing Business AsOsco Drug #1518

Other Identifiers 2

Medicaid=========230IL
Other2022529Pk

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20674733
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles

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
14D1033263
Facility Type
Pharmacy
Certificate Effective Date
November 08, 2024
Certificate Expiration Date
November 07, 2026
Laboratory Director
RACHEL RUSSELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Osco Drug #1518 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457307373, enumerated as an "organization" on May 25, 2006.

The provider is located at 4222 W ELM ST STE B MCHENRY, IL 60050 and the phone number is (815) 385-7030.

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

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.