Byrd-watson Times Square Drug Co
Community/Retail Pharmacy
3401 Broadway St, Mount Vernon
Illinois, 62864-2201
618-244-5400 618-244-5988
Byrd-watson Times Square Drug Co is a Community/Retail Pharmacy in Mount Vernon, Illinois. It is located at 3401 Broadway St, Mount Vernon and it's customer support contact number is 618-244-5400. The authorized person of Byrd-watson Times Square Drug Co is Adam Breeze who is Officer Of The Corporation of the pharmacy and his contact number is 618-244-5400. Active license number of Byrd-watson Times Square Drug Co is 054.009959 for Community/Retail Pharmacy in Illinois. Byrd-watson Times Square Drug Co accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Byrd-watson Times Square Drug Co is 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.
Pharmacy Details:
Byrd-watson Times Square Drug Co type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Byrd-watson Times Square Drug Co |
| Type: | Community/Retail Pharmacy |
| Location: | 3401 Broadway St, Mount Vernon,
Illinois, 62864-2201 |
| Phone: | 618-244-5400 |
| Fax: | 618-244-5988 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Adam Breeze |
| Position: | Officer Of The Corporation |
| Contact Number: | 618-244-5400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1598775413 |
| NPI Enumeration Date: | 09 Aug, 2006 |
| NPI Last Update On: | 08 Apr, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Byrd-watson Times Square Drug Co are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054.009959 | Illinois | Primary | |
| Durable Medical Equipment & Medical Supplies | 054009959 | Illinois | Secondary | |
Medicare Enrollment:
Byrd-watson Times Square Drug Co is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3577680842 | O20100930021593 | Byrd-watson Times Square Drug Co. | DME SUPPLIER - PHARMACY |
| 3577680842 | O20141104001481 | Byrd-watson Times Square Drug Co. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Byrd-watson Times Square Drug Co has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Infusion Pumps & Supplies: Insulin Infusion |
| • Ostomy Supplies | • Urological Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1179,
Mount Vernon, Illinois |
| Zip: | 62864-0024 |
| Phone Number: | 618-244-5400 |
| Fax Number: | 618-244-5409 |
Patients can reach Byrd-watson Times Square Drug Co at
3401 Broadway St, Mount Vernon, Illinois or can
call on customer care at 618-244-5400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.