11 South Medical Pharmacy, LLC
NPI 1194247080ActiveOrganization· Pharmacy· Columbia, IL
Pharmacy in Columbia, Illinois, registered in NPPES in July 2017. The authorized official on file is Kelsie Lider, PHARMD, Pharmacy Manager.
Overview
| NPI | 1194247080 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2017 |
| Last updated in NPPES | Jul 28, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 054020346 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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