OSCO DRUG #0260
NPI 1720034408
Pharmacy - Community/Retail Pharmacy in St Charles, IL

Active since May 25, 2006CLIA 14D1034263 · Waiver
652 KIRK RD, ST CHARLES, IL 60174(630) 587-0855(630) 587-0863 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 28, 2018, Jun 18, 2018, Jan 12, 2016 (3 updates tracked since 2016).

About Osco Drug #0260 NPPES

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

OSCO DRUG #0260 (NPI 1720034408) is a healthcare organization registered as a community/retail pharmacy in St Charles, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Tiffany Eliopulos, Enrollment Assistant Manager, as its authorized official.

NPPES Registry Identity

NPI1720034408
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAMERICAN DRUG STORES LLC
Location Address652 KIRK RDSt Charles, IL 60174
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940
Fax(630) 587-0863
Organization SubpartNo
Authorized OfficialTiffany EliopulosEnrollment Assistant Manager · (208) 395-3906
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 28, 20183 updates tracked since enumeration
NPI 1720034408 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 · 054-014060
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
652 KIRK RD, St Charles, IL 60174

Other Names 1

Doing Business AsOsco Drug #0260

Other Identifiers 2

Other2024761Pk
Medicaid=========083IL

Accepted 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 14D1034263

Osco Drug #0260 · Saint Charles, IL
Active · expires Nov 29, 2026
CLIA Number14D1034263
Laboratory TypePharmacy
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorRachel Russell
Laboratory Phone(630) 587-0855
Laboratory LocationOsco Drug #0260652 Kirk Rd, Saint Charles, IL 60174
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20674859
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

Other Providers at the Same Location NPPES 7

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

Pharmacist
652 KIRK RD
ST CHARLES, IL 60174
Pharmacist
652 KIRK RD
ST CHARLES, IL 60174
Pharmacist
652 KIRK RD, PHARMACY
ST CHARLES, IL 60174
Pharmacist
652 KIRK RD
ST CHARLES, IL 60174
Pharmacist
652 KIRK RD
ST CHARLES, IL 60174
Pharmacist
652 KIRK RD
ST CHARLES, IL 60174
Pharmacist
652 KIRK RD
ST CHARLES, IL 60174

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720034408, enumerated as an "organization" on May 25, 2006.

The provider is located at 652 KIRK RD ST CHARLES, IL 60174 and the phone number is (630) 587-0855.

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.