Adventist Bolingbrook Hospital
NPI 1205120706ActiveOrganization· Pharmacy, Specialty Pharmacy· Bolingbrook, IL
Pharmacy, Specialty Pharmacy in Bolingbrook, Illinois, registered in NPPES in June 2011. The authorized official on file is Tristan Shaw, Chief Financial Officer.
Overview
| NPI | 1205120706 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2011 |
| Last updated in NPPES | Nov 12, 2024 |
| Certified by provider | Nov 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Mail Order Pharmacy | 3336M0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Pharmacy, Specialty Pharmacy providers in Bolingbrook
- 1336925817