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GLEN ED PHARMACY, LLC
NPI 1699092122
Pharmacy - Community/Retail Pharmacy in Glen Carbon, IL

Active since April 23, 2010
1 GINGER CREEK MDWS, GLEN CARBON, IL 62034(618) 655-9898(618) 655-0230 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Glen Ed Pharmacy, Llc NPPES

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

GLEN ED PHARMACY, LLC (NPI 1699092122) is a healthcare organization registered as a community/retail pharmacy in Glen Carbon, Illinois and active in the NPI registry since April 2010. The organization lists David Rieck, Owner, as its authorized official.

NPPES Registry Identity

NPI1699092122
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGLEN ED PHARMACY LLC
Location Address1 GINGER CREEK MDWSGlen Carbon, IL 62034-3508
Mailing Address1 Ginger Creek MdwsGlen Carbon, IL 62034-3508 · (618) 655-9898 · Fax (618) 655-0230
Phone(618) 655-9898
Fax(618) 655-0230
Organization SubpartNo
Authorized OfficialDavid RieckOwner · (314) 542-0022
Enumeration DateApril 23, 2010
Last NPPES UpdateMarch 12, 2013
✔ NPI 1699092122 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 · 054.018063
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 ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1 GINGER CREEK MDWS, Glen Carbon, IL 62034
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Other Names 1

Doing Business AsGlen Ed Pharmacy, Llc

Other Identifiers 2

Other1484308Ncpdp Provider Identification Number
Medicaid=========001IL

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 Glen Ed Pharmacy LLC's NPI number?

The NPI number for Glen Ed Pharmacy LLC is 1699092122. It was assigned to this organization in the NPPES registry on April 23, 2010. The provider is doing business as Glen Ed Pharmacy, LLC.

Where is Glen Ed Pharmacy LLC located?

Glen Ed Pharmacy LLC is located at 1 Ginger Creek Mdws, Glen Carbon, IL 62034. The listed phone number is (618) 655-9898.

What is Glen Ed Pharmacy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Glen Ed Pharmacy LLC was last updated on March 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.