Polyclinic Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000693 Issued in IL

Legal business name

POLYCLINIC PHARMACY INC

Practice address

622 N Logan Ave
Danville, IL 61832-4362

Phone

(217) 477-5712

Fax

(217) 477-5709

NPI assigned

Jan 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Inderjit S Rakalla, R.PH.

Title

President

Phone

(217) 477-5712

Specialties & licenses 1

Addresses

Other names 1

• polyclinic medical equip co Doing business as

Locations

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1275503294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324362",
            "telephone_number": "217-477-5712",
            "fax_number": "217-477-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324362",
            "telephone_number": "217-477-5712",
            "fax_number": "217-477-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYCLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "RAKALLA",
        "authorized_official_first_name": "INDERJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-477-5712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "polyclinic medical equip co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin K Pilkington, NP
• Paul F Plattner, MD
• Christina Plummer, BS
• Deborah Ann Plush
• Pointcore, Inc.
• Polyclinic Pharmacy Inc
• Polyclinic Pharmacy Inc.
• Poolside Health & Wellness Center
• Julie A Porter, LCSW
• Angela R Powell

• Durable Medical Equipment & Medical Supplies in Danville, IL
• Providers in Danville, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.