ILLINOIS FAMILY PHARMACY LLC - NPI 1700628377

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

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About Illinois Family Pharmacy Llc NPPES

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

ILLINOIS FAMILY PHARMACY LLC (NPI 1700628377), doing business as Comprehensive Care Pharmacy - Long Term Care, is a healthcare organization registered as a long term care pharmacy in Breese, Illinois and active in the NPI registry since June 2024. The organization lists Samantha Jo Timmermann Dryer, Vice President / Owner, as its authorized official.

NPPES Registry Identity

NPI1700628377

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameILLINOIS FAMILY PHARMACY LLC

Location Address117 CLINTONIAN PLZBreese, IL 62230-1501

Mailing Address117 Clintonian PlzBreese, IL 62230-1501 · (618) 526-8040 · Fax (618) 526-8072

Phone(618) 526-8040

Fax(618) 526-8072

Organization SubpartNo

Authorized OfficialSamantha Jo Timmermann DryerVice President / Owner · (618) 526-8040

Enumeration DateJune 12, 2024

Last NPPES UpdateApril 21, 20252 updates tracked since enumeration

NPPES CertifiedApril 21, 2025

✔ NPI 1700628377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacyTaxonomy 333600000X

117 CLINTONIAN PLZ, Breese, IL 62230

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Other Names 1

Doing Business AsComprehensive Care Pharmacy - Long Term Care

Other Providers at the Same Location NPPES 6

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

TIMMERMANN & ASSOCIATES INC

Pharmacy (Community/Retail Pharmacy)