MEDICARE: N.M.S. DRUGS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1460815	OTHER		NCPDP NO.

General Provider Information

NPI Number	:	1407846413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N.M.S. DRUGS, INC.

Provider Business Mailing Address
First Line	:	8350 W LAWRENCE AVE
Second Line	:
City	:	NORRIDGE
State	:	IL
Zip	:	60706-3152
Country	:	US
Telephone Number	:	708-456-6455
Fax Number	:	708-456-1859

Provider Business Practice Location Address
First Line	:	8350 W LAWRENCE AVE
Second Line	:
City	:	NORRIDGE
State	:	IL
Zip	:	60706-3152
Country	:	US
Telephone Number	:	708-456-6455
Fax Number	:	708-456-1859

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM A NELSON
Credential	:	R.PH.
Telephone Number	:	708-456-6455

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	04/20/2008

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