Wauconda Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Wauconda Pharmacy Inc is a Compounding Pharmacy in Wauconda, Illinois. It is located at 222 S Main St, Wauconda and it's customer support contact number is 847-526-2591. The authorized person of Wauconda Pharmacy Inc is Terry Bruner, RPH who is Owner of the pharmacy and his contact number is 847-526-2591. Active license number of Wauconda Pharmacy Inc is 054006291 for Compounding Pharmacy in Illinois. Wauconda Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Wauconda Pharmacy Inc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Wauconda Pharmacy Inc 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:
Wauconda Pharmacy Inc
Type:
Compounding Pharmacy
Location:
222 S Main St, Wauconda, Illinois, 60084-1828
Phone:
847-526-2591
Fax:
847-526-1598
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:
Terry Bruner
Credentials:
RPH
Position:
Owner
Contact Number:
847-526-2591
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:
1831274513
NPI Enumeration Date:
25 Oct, 2006
NPI Last Update On:
07 Nov, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wauconda Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Compounding Pharmacy
054006291
Illinois
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Community/Retail Pharmacy
Secondary
Home Infusion Therapy 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
1428196
Other
Illinois
Bcbs Pharmacy
IL3147
Other
Illinois
Medicare Part B
1428196
Other
Other Id Number
362686883001
Medicaid
Illinois
Medicare Enrollment:
Wauconda Pharmacy Inc 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
9133142540
O20100930053679
Wauconda Pharmacy Inc
DME SUPPLIER - PHARMACY
9133142540
O20121205000439
Wauconda Pharmacy Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Wauconda Pharmacy Inc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Enteral Equipment And/or Supplies
Enteral Nutrients
Heat & Cold Applications
Hospital Beds: Electric
Hospital Beds: Manual
Infusion Pumps & Supplies: External Infusion
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Orthoses: Prefabricated
Ostomy Supplies
Parenteral Equipment And/or Supplies
Parenteral Nutrients
Seat Lift Mechanisms
Surgical Dressings
Walkers
Wheelchair Seating/cushions
Wheelchairs & Accessories: Standard Manual
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
222 S Main St, Wauconda, Illinois
Zip:
60084-1828
Phone Number:
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Fax Number:
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Patients can reach Wauconda Pharmacy Inc at 222 S Main St, Wauconda, Illinois or can call on customer care at 847-526-2591.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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