Organization Active NPI

Cosgrave Pharmacy Inc

  • Community/Retail Pharmacy
  • Silvis, IL
National Provider Identifier
1013058262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COSGRAVE PHARMACY INC
Practice address
908 1St Ave
Silvis, IL 61282-1047
Phone
(309) 792-9527
Fax
(309) 792-9457
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul H Garner, R.PH.
Title
Corporate Secretary
Phone
(309) 792-9527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X IL Primary

Addresses

Primary practice location

908 1St Ave
Silvis, IL 61282-1047

Mailing address

908 1St Ave
Silvis, IL 61282-1047
Phone (309) 792-9527

Other identifiers 1

IdentifierTypeStateIssuer
1430646OtherILNCPDP NUMBER

National Provider Directory

National Provider Directory

Locations

908 1st Ave
Silvis, IL 61282
Phone (309) 792-9527

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013058262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 1ST AVE",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821047",
            "telephone_number": "309-792-9527",
            "fax_number": "309-792-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 1ST AVE",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821047",
            "telephone_number": "309-792-9527",
            "fax_number": "309-792-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSGRAVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "309-792-9527",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1430646",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silvis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.