BASINGER PHARMACY – Community/Retail Pharmacy, NPI 1093720633
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BASINGER PHARMACY
2219 W JEFFERSON ST
JOLIET, IL 604356511
Phone: (815) 725-1102
Fax: (815) 725-7500
Type: Mailing
2130, West Jefferson Street, Joliet, Will County, Illinois, 60435, United States
JOLIET, IL 604356622
Phone: (815) 725-1102
Fax: (815) 725-7500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (713 days ago).
Enrollment records
3
Earliest due date
2024-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930035927 | O | Pharmacy | IL | 2026-08-31 |
| O20140107000734 | O | Mass Immunization (Roster Biller Only) | IL | 2024-06-30 |
| O20220120000402 | O | Independent Clinical Laboratory | IL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 86 | 86 | $0 |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 85 | 85 | $0 |
| G0009 | Administration of pneumococcal vaccine | 38 | 38 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 37 | 37 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 32 | 32 | $0 |
Insurance plans in this area (ZIP 60435)
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