Independence Holding Co Llc
Community/Retail Pharmacy
14 E Washington St Ste C, Champaign
Illinois, 61820-3677
217-355-6607 217-355-6639
Independence Holding Co Llc is a Community/Retail Pharmacy in Champaign, Illinois. It is located at 14 E Washington St Ste C, Champaign and it's customer support contact number is 217-355-6607. The authorized person of Independence Holding Co Llc is James Christopher Smith who is Executive V.p. of the pharmacy and his contact number is 217-753-1688. Active license number of Independence Holding Co Llc is 054-018086 for Community/Retail Pharmacy in Illinois. Independence Holding Co Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Independence Holding Co Llc 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:
Independence Holding Co Llc 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: | Independence Holding Co Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 14 E Washington St Ste C, Champaign,
Illinois, 61820-3677 |
| Phone: | 217-355-6607 |
| Fax: | 217-355-6639 |
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: | James Christopher Smith |
| Position: | Executive V.p. |
| Contact Number: | 217-753-1688 |
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: | 1619213097 |
| NPI Enumeration Date: | 12 Dec, 2012 |
| NPI Last Update On: | 26 Sep, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Independence Holding Co Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054-018086 | Illinois | Primary | |
| Durable Medical Equipment & Medical Supplies | 054-018086 | Illinois | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 054-018801 | Other | Illinois | State License Number |
Medicare Enrollment:
Independence Holding Co Llc 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 |
| 4587724448 | O20081121000361 | Independence Holding Co Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 14 E Washington St Ste C,
Champaign, Illinois |
| Zip: | 61820-3677 |
| Phone Number: | 217-355-6607 |
| Fax Number: | 217-355-6639 |
Patients can reach Independence Holding Co Llc at
14 E Washington St Ste C, Champaign, Illinois or can
call on customer care at 217-355-6607.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.