NPIMap

Organization Active NPI

Hac 2, Inc

Doing business as Uvanta Pharmacy of Central Illinois

  • Long Term Care Pharmacy
  • Chatham, IL
National Provider Identifier
1003868928
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
93013469 Issued in IL
Legal business name
HAC 2, INC
Doing business as
Uvanta Pharmacy of Central Illinois
Practice address
1053 Jason PL
Chatham, IL 62629-2018
Phone
(217) 483-7431
Fax
(217) 483-7491
NPI assigned
May 17, 2006
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Donna G Mattera, RPHNPI 1760741003
Title
President
Phone
(217) 622-3674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 93013469 IL Primary

Addresses

Primary practice location

1053 Jason PL
Chatham, IL 62629-2018

Mailing address

1053 Jason PL
Chatham, IL 62629-2018
Phone (217) 483-7431

Other names 1

  • Uvanta Pharmacy of Central Illinois Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1003868928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 JASON PL",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626292018",
            "telephone_number": "217-483-7431",
            "fax_number": "217-483-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 JASON PL",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626292018",
            "telephone_number": "217-483-7431",
            "fax_number": "217-483-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAC 2, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MATTERA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-622-3674",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "93013469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uvanta Pharmacy of Central Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.