Carlinville Health & Prescription Services

Primary specialty

PharmacyTaxonomy code 333600000X

License

545698 Issued in IL

Legal business name

CARLINVILLE HEALTH & PRESCRIPTION SERVICES

Doing business as

Sullivan Drugs

Practice address

920 W Main St
Carlinville, IL 62626-1200

Phone

(217) 854-6121

Fax

(217) 854-6131

NPI assigned

Dec 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Owen P Sullivan, RPHNPI 1164474748

Title

Owner/Pharmacist

Phone

(217) 854-6121

Specialties & licenses 1

Addresses

Other names 1

• Sullivan Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carlinville Health & Prescriptions Services Inc

  dba Sullivan Drugs of Carlinville

  • Community/Retail Pharmacy
  • Carlinville, IL
  • NPI 1821049594

  O20100930057898

  Same enrollment

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.

• Owen P Sullivan, RPH

  • Pharmacist
  • Carlinville, IL
  • NPI 1164474748
  NPD Authorized official

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265417281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W MAIN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261200",
            "telephone_number": "217-854-6121",
            "fax_number": "217-854-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W MAIN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261200",
            "telephone_number": "217-854-6121",
            "fax_number": "217-854-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLINVILLE HEALTH & PRESCRIPTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "217-854-6121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "545698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlinville Area Hospital Association (Carlinville Area Hospital)
• Carlinville Area Hospital Association (Carlinville Family Health Care)
• Carlinville Chiropractic Clinic LTD
• Carlinville Community Unit School District #1
• Carlinville Eye Care PC
• Carlinville Health & Prescriptions Services Inc (Sullivan Drugs of Carlinville)
• Carlinville Medical Clinic, Inc.
• Carlinville Medical Clinic, Inc.
• Carlinville Rehabilitation and Health Care Center, LLC (Carlinville Rehabilitation and Health Care Center)
• Carlinville Senior Living LLC (The Village at Morse Farm)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.