NPIMap

Organization Active NPI

Pinckneyville Community Hospital

  • Pharmacy
  • Pinckneyville, IL
National Provider Identifier
1063473148
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PINCKNEYVILLE COMMUNITY HOSPITAL
Practice address
5383 State Route 154
Pinckneyville, IL 62274-3342
Phone
(618) 357-2187
Fax
(618) 357-8888
NPI assigned
Mar 29, 2006
Organization subpart
Yes
Parent organization
PINCKNEYVILLE COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Kara Jo Carson, MACC, CPA, CHFP
Title
Chief Financial Officer
Phone
(618) 357-5902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

5383 State Route 154
Pinckneyville, IL 62274-3342

Mailing address

5383 State Route 154
Pinckneyville, IL 62274-3342
Phone (618) 357-2187

Other identifiers 2

IdentifierTypeStateIssuer
1454127OtherILNABP
141307OtherMEDICARE

Other names 1

  • Pinckneyville Community Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinckneyville Comm Lab15 organizations share this tax ID, including this one
Part of
Pinckneyville Comm Lab

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1063473148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 STATE ROUTE 154",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622743342",
            "telephone_number": "618-357-2187",
            "fax_number": "618-357-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 STATE ROUTE 154",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622743342",
            "telephone_number": "618-357-2187",
            "fax_number": "618-357-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCKNEYVILLE COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINCKNEYVILLE COMMUNITY HOSPITAL",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "618-357-5902",
        "authorized_official_credential": "MACC, CPA, CHFP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1454127",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "141307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinckneyville Community Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinckneyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.