OrganizationActive
11 South Medical Pharmacy, LLC
NPI 1194247080 · Pharmacy · Columbia, IL
11 South Medical Pharmacy, LLC is a Pharmacy organization in Columbia, IL (NPI 1194247080).
Provider details
- NPI number
- 1194247080
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kelsie Lider, Pharmacy Manager(618) 281-3500
- License
- 054020346 (IL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Eleven South
Ste 2b
Columbia, IL 62236
Phone: (618) 281-3500
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Eleven S Ste 2b
Columbia, IL 62236-1079
Registry dates
- Enumerated
- 2017-07-12
- Last updated
- 2017-07-28
Frequently asked questions
- What is 11 South Medical Pharmacy, LLC's NPI number?
- 11 South Medical Pharmacy, LLC's National Provider Identifier (NPI) is 1194247080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 11 South Medical Pharmacy, LLC?
- 11 South Medical Pharmacy, LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is 11 South Medical Pharmacy, LLC located?
- 11 South Medical Pharmacy, LLC's practice location on file with NPPES is 1000 Eleven South, Columbia, IL 62236.
- What is 11 South Medical Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for 11 South Medical Pharmacy, LLC is (618) 281-3500.
- Who is the authorized official for 11 South Medical Pharmacy, LLC?
- The authorized official listed on 11 South Medical Pharmacy, LLC's NPPES record is Kelsie Lider, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 11 South Medical Pharmacy, LLC's NPI active?
- Yes — 11 South Medical Pharmacy, LLC's NPI (1194247080) is active in the NPPES registry as of the last update on 2017-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.