Organization Active NPI

Timmermann & Associates Inc

  • Long Term Care Pharmacy
  • Breese, IL
National Provider Identifier
1255810974
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
054.014154 Issued in IL
Legal business name
TIMMERMANN & ASSOCIATES INC
Practice address
117 Clintonian PLZ
Breese, IL 62230-1501
Phone
(618) 526-8040
Fax
(618) 526-8072
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Mark J Timmerman, RPH.NPI 1386138311
Title
Pharmacist/Owner
Phone
(618) 526-8040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 054.014154 IL Primary

Addresses

Primary practice location

117 Clintonian PLZ
Breese, IL 62230-1501

Mailing address

117 Clintonian PLZ
Breese, IL 62230-1501
Phone (618) 526-8040

Other names 1

  • Comprehensive Care Pharmacy Other name

National Provider Directory

National Provider Directory

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": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1255810974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CLINTONIAN PLZ",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301501",
            "telephone_number": "618-526-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CLINTONIAN PLZ",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301501",
            "telephone_number": "618-526-8040",
            "fax_number": "618-526-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMMERMANN & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "TIMMERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "618-526-8040",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054.014154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Care Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Breese, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.