Endeavor Health Clinical Operations
NPI 1073554739ActiveOrganization· Pharmacy· Evanston, IL
Pharmacy in Evanston, Illinois, registered in NPPES in June 2006. The authorized official on file is Douglas D. Welday, Cfo. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1073554739 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2006 |
| Last updated in NPPES | Dec 17, 2025 |
| Certified by provider | Dec 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 0000646 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IL); Part B Supplier - Mass Immunization (Roster Biller Only) (IL) |
|---|
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