Divvymed, LLC
Divvydose · Pharmacy (Long Term Care Pharmacy)

Address: 4300 44th Ave, Moline, IL 61265
Phone: 8446934889

Divvymed, LLC (NPI# 1437541869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1437541869
Entity Type Organization
Organization Name DIVVYMED, LLC
Other Organization Name DIVVYDOSE
Practice Address 4300 44th Ave
IL 61265
Practice Telephone 8446934889
Practice Fax Number 8555877952
Mailing Address 4300 44th Ave
IL 61265-6755
Mailing Telephone 8446934889
Mailing Fax Number 3098072462
Authorized Official Name Mr. David Oberg (VICE PRESIDENT, COMPLIANCE)
Authorized Official Telephone 9499885893
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2015-02-23
Last Update Date 2020-10-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 3336C0003X Pharmacy · Community/Retail Pharmacy Suppliers
Yes 3336L0003X Pharmacy · Long Term Care Pharmacy Suppliers

Other Provider Identifier

State Identifier Issuer Type Code
2150554 OTHER PK
FD5068576 OTHER DEA#

Other Provider/Organization Names

Other Name Type Code
divvyDOSE Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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1720574676 Critical Care Rx, LLC Pharmacy 126 Oak St, Peoria, IL 61602 2018-07-03
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1124546031 Symbria Rx Services, LLC. Pharmacy 3200 Grant St Rm 41, Evanston, IL 60201-1903 2017-08-31
1699146720 Pharmblue Illinois LLC Pharmacy 2960 Chartres St Ste 100, La Salle, IL 61301-1097 2015-10-15
1194144691 Lifemed Illinois, LLC Pharmacy 881 Il Route 83, Bensenville, IL 60106-1219 2014-04-11
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Office Location

Street Address 4300 44TH AVE
State IL
Zip Code 61265

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861035438 Ora Orthopedics, PC Orthopaedic Surgery 510 Valley View Drive, Moline, IL 61265 2019-10-25
1598231698 Secure Dental Vi Dentist 106 16th St, Unit #90, Moline, IL 61265 2018-10-17
1487152088 Fjellheim P.c Chiropractor 1535 47th Avenue, Suite 5, Moline, IL 61265 2018-01-29
1326567199 Elizabeth Ann Teichler Respiratory Therapist, Registered 4360 7th Street, Moline, IL 61265 2017-09-13
1497279913 Caroline M Mather Behavior Analyst 2430 6th Avenue, Moline, IL 61265 2017-07-26
1639625239 Elizabeth Anderson Nurse's Aide 4319 26th Ave Apt 1, Moline, IL 61265 2016-09-01
1437604154 Lindsey Bollaert Nurse Practitioner 1100 36th Ave, Moline, IL 61265 2016-08-23
1477955250 Todd Stone Nurse Practitioner 1100 3th Avenue, Moline, IL 61265 2014-09-23
1588084479 Familia Dental Moline LLC Dentist 1102 4th Ave, Moline, IL 61265 2014-04-18
1033485305 Moe Phyu Tun Radiology 615 Valley View Dr Ste 202, Moline, IL 61265 2012-03-30
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Zip Code 61265

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.