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

Q: 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.

Q: 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.

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: August 09, 2026.

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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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.