Medcentre Pharmacy
Medcentre Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Kankakee, IL, holding Type 2 (organization) NPI 1881791622 since 2006. The authorized official on file is David Sula, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1881791622 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Medcentre Pharmacy |
| Practice address | 555 W COURT ST, Kankakee, IL, 60901 |
| Phone | 8159373540 |
| Enumeration date | 2006-09-20 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | David Sula |
|---|---|
| Title | President |
| Phone | 8159373540 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | 54010070 | IL |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1453872 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Medcentre Pharmacy NPI: 1881791622 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 555 W COURT ST, Kankakee, IL, 60901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003802349 | Martin Phillips | Individual | Infectious Disease Physician | Kankakee, IL |
| 1912982125 | Metro Area Pain Consultants, Ltd | Organization | Specialist | Kankakee, IL |
| 1881679553 | James Kelly | Individual | Specialist | Kankakee, IL |
| 1649247784 | George Verghese | Individual | Orthopaedic Surgery Physician | Kankakee, IL |
| 1093777880 | Suresh Didwania | Individual | Internal Medicine Physician | Kankakee, IL |
| 1750344214 | Vallabh Patel | Individual | Internal Medicine Physician | Kankakee, IL |
| 1134178338 | Presence Home Care | Organization | Home Health Agency | Kankakee, IL |
| 1104845833 | Susan Giacchino | Individual | Critical Care Medicine Clinical Nurse Specialist | Kankakee, IL |
Verify this record
Cross-check NPI 1881791622 against the authoritative CMS record: view Medcentre Pharmacy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Medcentre Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-09-11.