NPIMap

Organization Active NPI

Southern Illinois Healthcare

  • Community/Retail Pharmacy
  • Herrin, IL
National Provider Identifier
1124710645
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTHERN ILLINOIS HEALTHCARE
Practice address
201 S 14TH St RM 1-342
Herrin, IL 62948-3631
Phone
(618) 942-2171
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HERRIN HOSPITAL PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Elizabeth Ann ParrilliNPI 1508314345
Title
Pharmacy Manager
Phone
(618) 942-2171

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

201 S 14TH St RM 1-342
Herrin, IL 62948-3631

Mailing address

201 S 14TH St RM 1-342
Herrin, IL 62948-3631
Phone (618) 942-2171

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital of Carbondale34 organizations share this tax ID, including this one
Part of
Memorial Hospital of Carbondale

Other organizations with this tax ID 33

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

View all 33

Locations

201 S 14th St
Rm 1342
Herrin, IL 62948
Phone (618) 942-2171

Interoperability endpoints

  • FHIR API: https://epicproxy.et0986.epichosted.com/FHIRProxy/api/FHIR/R4/

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1124710645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 14TH ST RM 1-342",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483631",
            "telephone_number": "618-942-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 14TH ST RM 1-342",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483631",
            "telephone_number": "618-942-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERRIN HOSPITAL PHARMACY",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "PARRILLI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "618-942-2171"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.