OSCO DRUG #4500
NPI 1831528694
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since November 02, 2013CLIA 14D1024814 · Waiver
1340 S CANAL ST, CHICAGO, IL 60607(312) 666-5612(312) 666-5912 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2018, Jun 15, 2018 (2 updates tracked since 2018).

About Osco Drug #4500 NPPES

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

OSCO DRUG #4500 (NPI 1831528694) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists Tiffany Eliopulos, Enrollment Assistant Manager, as its authorized official.

NPPES Registry Identity

NPI1831528694
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAMERICAN DRUG STORES LLC
Location Address1340 S CANAL STChicago, IL 60607
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (847) 916-4463 · Fax (847) 916-4736
Fax(312) 666-5912
Organization SubpartNo
Authorized OfficialTiffany EliopulosEnrollment Assistant Manager · (208) 395-3906
Enumeration DateNovember 2, 2013
Last NPPES UpdateJune 28, 20182 updates tracked since enumeration
NPI 1831528694 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 · 054-018448
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
1340 S CANAL ST, Chicago, IL 60607

Other Names 1

Doing Business AsOsco Drug #4500

Other Identifiers 2

Medicaid=========051IL
Other2143268Pk

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 14D1024814

Osco Drug #4500 · Chicago, IL
Active · expires Apr 20, 2028
CLIA Number14D1024814
Laboratory TypePharmacy
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorRachel Russell
Laboratory Phone(312) 666-5612
Laboratory LocationOsco Drug #45001340 S Canal St, Chicago, IL 60607
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 #3345 carries, from the Medicare DMEPOS supplier directory.

Osco Drug #3345

DMEPOS supplier · Chicago, ILOperated by American Drug Stores LLC

Does not accept Medicare assignment

Osco Drug #3345 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)20674403
Medicare Participant SinceOctober 1, 1989
Supplier Location1224 South WabashChicago, IL 60605
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 11

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

Pharmacist
1340 S CANAL ST
CHICAGO, IL 60607
Pharmacist
1340 S CANAL ST
CHICAGO, IL 60607
Pharmacist
1340 S CANAL ST
CHICAGO, IL 60607
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1340 S CANAL ST
CHICAGO, IL 60607
Pharmacist
1340 S CANAL ST
CHICAGO, IL 60607
Pharmacist
1340 S CANAL ST
CHICAGO, IL 60607
Pharmacist
1340 S CANAL ST
CHICAGO, IL 60607
Pharmacist
1340 S CANAL ST
CHICAGO, IL 60607

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 1831528694. It was assigned to this organization in the NPPES registry on November 2, 2013. The provider is doing business as Osco Drug #4500.

Where is American Drug Stores LLC located?

American Drug Stores LLC is located at 1340 S Canal St, Chicago, IL 60607. The listed phone number is (312) 666-5612.

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 #3345 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 14D1024814) is associated with this NPI, valid through April 20, 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 June 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.