NPIMap

Organization Active NPI

Carle Foundation Hospital

Doing business as Carle RX Express

  • Pharmacy
  • Mattoon, IL
National Provider Identifier
1073668836
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CARLE FOUNDATION HOSPITAL
Doing business as
Carle RX Express
Practice address
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone
(217) 258-3616
Fax
(217) 258-3617
NPI assigned
Jan 24, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CARLE FOUNDATION HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Robert E Tonkinson Jr.
Title
Chief Financial Officer
Phone
(217) 383-3441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X IL Primary

Addresses

Primary practice location

200 Lerna Rd S
Mattoon, IL 61938-9388

Mailing address

611 W Park St
Urbana, IL 61801-2500
Phone (217) 326-2906

Other names 1

  • Carle RX Express Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carle Foundation Hospital29 organizations share this tax ID, including this one
Part of
Carle Foundation Hospital

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073668836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-326-2906",
            "fax_number": "217-326-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LERNA RD S",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389388",
            "telephone_number": "217-258-3616",
            "fax_number": "217-258-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLE FOUNDATION HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARLE FOUNDATION HOSPITAL",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TONKINSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "217-383-3441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carle RX Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.