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OSCO DRUG #3730
NPI 1811944366
Pharmacy - Community/Retail Pharmacy in Minooka, IL

Active since May 30, 2006CLIA 14D1050512 · Waiver
2051 RIDGE RD, MINOOKA, IL 60447(815) 467-1254(815) 467-1516 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2018, Jan 12, 2016 (2 updates tracked since 2016).

About Osco Drug #3730 NPPES

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

OSCO DRUG #3730 (NPI 1811944366) is a healthcare organization registered as a community/retail pharmacy in Minooka, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1811944366
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAMERICAN DRUG STORES LLC
Location Address2051 RIDGE RDMinooka, IL 60447
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940
Phone(815) 467-1254
Fax(815) 467-1516
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateMay 30, 2006
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
✔ NPI 1811944366 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 · 054-015540
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
2051 RIDGE RD, Minooka, IL 60447
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Other Names 1

Doing Business AsOsco Drug #3730

Other Identifiers 2

Other2021827Pk
Medicaid=========730IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness 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 14D1050512

Osco Drug #3730 · Minooka, IL
Active · expires Feb 5, 2028
CLIA Number14D1050512
Laboratory TypePharmacy
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorRachel Russell
Laboratory Phone(815) 467-1254
Laboratory LocationOsco Drug #37302051 Ridge Rd, Minooka, IL 60447
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Osco Drug #3730 carries, from the Medicare DMEPOS supplier directory.

Osco Drug #3730

DMEPOS supplier · Minooka, ILOperated by American Drug Stores LLC
⋮

Does not accept Medicare assignment

Osco Drug #3730 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20674595
Medicare Participant SinceOctober 1, 1989
Supplier Location2051 Ridge RdMinooka, IL 60447
Phone(815) 467-1254
Supplier Specialties
Pharmacy Grocery Store

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.

NOAH PAUL BURLISON
Pharmacist
2051 RIDGE RD
MINOOKA, IL 60447
Grundy County (815) 467-1254
JOHN GEORGIS
Pharmacist
2051 RIDGE RD
MINOOKA, IL 60447
Grundy County (815) 467-1254
RUTH BASS PHARM.D.
Pharmacist
2051 RIDGE RD, OSCO PHARMACY 3730
MINOOKA, IL 60447
Grundy County (815) 467-1254
ROBYN LESHOCK
Pharmacist
2051 RIDGE RD
MINOOKA, IL 60447
Grundy County (815) 467-1254
DOUGLAS GOSSEN R.PH.
Pharmacist
2051 RIDGE RD
MINOOKA, IL 60447
Grundy County (815) 467-1254

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 American Drug Stores LLC's NPI number?

The NPI number for American Drug Stores LLC is 1811944366. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider is doing business as Osco Drug #3730.

Where is American Drug Stores LLC located?

American Drug Stores LLC is located at 2051 Ridge Rd, Minooka, IL 60447. The listed phone number is (815) 467-1254.

What is American Drug Stores LLC's specialty?

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

Does American Drug Stores LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Osco Drug #3730 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does American Drug Stores LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1050512) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does American Drug Stores LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 42 other insurers list American Drug Stores LLC 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 American Drug Stores LLC was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.