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ST. JUDE PHARMACY
NPI 1790240489
Pharmacy - Community/Retail Pharmacy in Joliet, IL

Active since February 06, 2019CLIA 14D2174121 · Waiver
301 MADISON ST STE 114, JOLIET, IL 60435(815) 900-9000(815) 900-5500 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2019, Feb 7, 2019 (2 updates tracked since 2019).

About St. Jude Pharmacy NPPES

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

ST. JUDE PHARMACY (NPI 1790240489) is a healthcare organization registered as a community/retail pharmacy in Joliet, Illinois and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through October 23, 2027 and lists Mohammed J Alahmed, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1790240489
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameST JUDE PHARMACY, INC.
Location Address301 MADISON ST STE 114Joliet, IL 60435-6549
Mailing Address301 Madison St Ste 114Joliet, IL 60435-6549 · (815) 900-9000 · Fax (815) 900-5500
Phone(815) 900-9000
Fax(815) 900-5500
Organization SubpartNo
Authorized OfficialMohammed J AlahmedPharmacist In Charge · (815) 900-9000
Enumeration DateFebruary 6, 2019
Last NPPES UpdateApril 12, 20192 updates tracked since enumeration
✔ NPI 1790240489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
301 MADISON ST STE 114, Joliet, IL 60435
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Other Names 1

Doing Business AsSt. Jude Pharmacy

Other Identifiers 2

Other320012950IL · Idfpr Illinoic Controlled Pharmacy License
Other054021109IL · Illinois Department If Financial And Professional Regulation Pharmacy License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 14D2174121

St Jude Pharmacy · Joliet, IL
Active · expires Oct 23, 2027
CLIA Number14D2174121
Laboratory TypePharmacy
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorMohammed Alahmed
Laboratory Phone(815) 900-9000
Laboratory LocationSt Jude Pharmacy301 Madison St - Ste 114, Joliet, IL 60435
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 17

Medicare supplier enrollment and the product categories St Jude Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

St Jude Pharmacy Inc

DMEPOS supplier · Joliet, IL
✔

Accepts Medicare assignment

St Jude Pharmacy Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)26716240
Medicare Participant SinceFebruary 25, 2019
Supplier Location301 Madison St Ste 114Joliet, IL 60435
Phone(815) 900-9000
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

MOHAMMED J ALAHMED R.PH.
Pharmacist
301 MADISON ST STE 114
JOLIET, IL 60435
Will County (815) 900-9000
WALGREEN CO.
Pharmacy
301 MADISON ST STE 114
JOLIET, IL 60435
Will County (775) 852-6816
JENAN DAILEY PHARMD
Pharmacist
301 MADISON ST STE 114
JOLIET, IL 60435
Will County (815) 900-9000
MR. JOHN MICHAEL EGNER RPH
Pharmacist
301 MADISON ST STE 114
JOLIET, IL 60435
Will County (815) 744-4173
ST JUDE PHARMACY, INC.
Pharmacy (Long Term Care Pharmacy)
301 MADISON ST STE 114
JOLIET, IL 60435
Will County (815) 900-9000

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 St Jude Pharmacy, Inc.'s NPI number?

The NPI number for St Jude Pharmacy, Inc. is 1790240489. It was assigned to this organization in the NPPES registry on February 6, 2019. The provider is doing business as St. Jude Pharmacy.

Where is St Jude Pharmacy, Inc. located?

St Jude Pharmacy, Inc. is located at 301 Madison St Ste 114, Joliet, IL 60435. The listed phone number is (815) 900-9000.

What is St Jude Pharmacy, Inc.'s specialty?

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

Does St Jude Pharmacy, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, St Jude Pharmacy Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does St Jude Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2174121) is associated with this NPI, valid through October 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Jude Pharmacy, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list St Jude Pharmacy, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Jude Pharmacy, Inc. was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.