Douglas & Ogden Medical Center Pharmacy Inc
NPI 1760543581 · Community/Retail Pharmacy · Manteno, IL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas & Ogden Medical Center Pharmacy Inc is a Community/Retail Pharmacy organization in Manteno, IL (NPI 1760543581).
Provider details
- NPI number
- 1760543581
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Clarke Kueltzo, President(630) 969-0036
- License
- 054009256 (IL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
269 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 147 | $31 |
| Admn Sarscov2 Vacc 1 Dose90480 | 91 | $42 |
| Administration of Pneumococcal, Influenza, Hepatitis B, And/Or Covid-19 Vaccine Inside a Patient'S Home; Reported Only Once Per Individual Home Per Date of Service When Such Vaccine Administration(s) Are Performed at the Patient'S HomeM0201 | 31 | $37 |
Typical Medicare-allowed amounts for these services range $31–$42 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Douglas Main Pharmacy
- Doing business as
- Main Street Pharmacy
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2019-06-12
Frequently asked questions
- What is Douglas & Ogden Medical Center Pharmacy Inc's NPI number?
- Douglas & Ogden Medical Center Pharmacy Inc's National Provider Identifier (NPI) is 1760543581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Douglas & Ogden Medical Center Pharmacy Inc?
- Douglas & Ogden Medical Center Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Douglas & Ogden Medical Center Pharmacy Inc located?
- Douglas & Ogden Medical Center Pharmacy Inc's practice location on file with NPPES is 24 W First St, Manteno, IL 60950-1239.
- What is Douglas & Ogden Medical Center Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Douglas & Ogden Medical Center Pharmacy Inc is (630) 969-0036.
- Does Douglas & Ogden Medical Center Pharmacy Inc accept Medicare?
- Douglas & Ogden Medical Center Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Douglas & Ogden Medical Center Pharmacy Inc?
- The authorized official listed on Douglas & Ogden Medical Center Pharmacy Inc's NPPES record is Clarke Kueltzo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Douglas & Ogden Medical Center Pharmacy Inc's NPI active?
- Yes — Douglas & Ogden Medical Center Pharmacy Inc's NPI (1760543581) is active in the NPPES registry as of the last update on 2019-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.