Pine Street Pharmacies
Community/Retail Pharmacy
709 Woodlawn Rd, Lincoln
Illinois, 62656-1445
217-735-1972 217-732-9827
Pine Street Pharmacies is a Community/Retail Pharmacy in Lincoln, Illinois. It is located at 709 Woodlawn Rd, Lincoln and it's customer support contact number is 217-735-1972. The authorized person of Pine Street Pharmacies is Bruce Stacy, RPH who is Owner of the pharmacy and his contact number is 217-735-1972. Active license number of Pine Street Pharmacies is 054.016477 for Community/Retail Pharmacy in Illinois. Pine Street Pharmacies accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pine Street Pharmacies 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:
Pine Street Pharmacies 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: | Pine Street Pharmacies |
| Type: | Community/Retail Pharmacy |
| Location: | 709 Woodlawn Rd, Lincoln,
Illinois, 62656-1445 |
| Phone: | 217-735-1972 |
| Fax: | 217-732-9827 |
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: | Bruce Stacy |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 217-735-1972 |
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: | 1588714893 |
| NPI Enumeration Date: | 11 Jan, 2007 |
| NPI Last Update On: | 08 Jan, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pine Street Pharmacies are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054.016477 | Illinois | Primary | |
| 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 |
| 2019679 | Other | | Pk |
Medicare Enrollment:
Pine Street Pharmacies 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 |
| 4587701123 | O20091030000081 | Pine Street Pharmacies | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 4587701123 | O20100930084813 | Pine Street Pharmacies | DME SUPPLIER - PHARMACY |
Products Available:
Pine Street Pharmacies has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Heat & Cold Applications |
| • Hospital Beds: Electric | • Hospital Beds: Manual |
| • Infrared Heating Pad Systems | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Patient Lifts | • Power Operated Vehicles (scooters) |
| • Seat Lift Mechanisms | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Urological Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
| • Wheelchairs & Accessories: Standard Power | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 709 Woodlawn Rd,
Lincoln, Illinois |
| Zip: | 62656-1445 |
| Phone Number: | 217-735-1972 |
| Fax Number: | 217-732-9827 |
Patients can reach Pine Street Pharmacies at
709 Woodlawn Rd, Lincoln, Illinois or can
call on customer care at 217-735-1972.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.