Gardner Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GARDNER PHARMACY INC

Practice address

122 Depot
Gardner, IL 60424

Phone

(815) 237-2152

Fax

(815) 237-0858

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Curt Paul Trizzino, MSHSANPI 1598852832

Title

Owner

Phone

(815) 237-2152

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

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

• Curt Paul Trizzino, MSHSA

  • Pharmacist
  • Gardner, IL
  • NPI 1598852832
  NPD (past) Authorized official
• Melinda Sue Mounts

  • Pharmacy Technician
  • Gardner, IL
  • NPI 1700967700
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1154418499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DEPOT ST",
            "city": "GARDNER",
            "state": "IL",
            "postal_code": "60424",
            "telephone_number": "815-237-2152",
            "fax_number": "815-237-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DEPOT",
            "city": "GARDNER",
            "state": "IL",
            "postal_code": "60424",
            "telephone_number": "815-237-2152",
            "fax_number": "815-237-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "TRIZZINO",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-237-2152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSHSA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363771367001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana L Clifford, BCBA
• Dr. Lucas Tanner, LLC
• Amanda M Fagan
• Gardner Fire Protection District
• Gardner S Wilmington THS Dist 73
• Gardner Volunteer Fire Department
• Jack James, PA-C
• Kelsey Lutz, MA, LPC
• Renee Moore

• Pharmacy in Gardner, IL
• Providers in Gardner, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.