NPIMap

Organization Active NPI

Axline'S Inc.

  • Community/Retail Pharmacy
  • Bushnell, IL
National Provider Identifier
1285787226
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054018760 Issued in IL
Legal business name
AXLINE'S INC.
Doing business as
Axline Pharmacy (08)
Practice address
401 W Main St
Bushnell, IL 61422-1353
Phone
(309) 772-3155
Fax
(309) 772-3156
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Troy Williams
Title
Owner,RPH,Ao
Phone
(309) 828-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054018760 IL Primary

Addresses

Primary practice location

401 W Main St
Bushnell, IL 61422-1353

Mailing address

PO Box 1087
Bloomington, IL 61702-1087
Phone (309) 828-6767

Other identifiers 1

IdentifierTypeStateIssuer
1413385OtherILNCPDP

Other names 1

  • Axline Pharmacy (08) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Axlines Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

401 W Main St
Bushnell, IL 61422
Phone (309) 772-3155

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1285787226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617021087",
            "telephone_number": "309-828-6767",
            "fax_number": "309-828-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "BUSHNELL",
            "state": "IL",
            "postal_code": "614221353",
            "telephone_number": "309-772-3155",
            "fax_number": "309-772-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXLINE'S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER,RPH,AO",
        "authorized_official_telephone_number": "309-828-6767"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1413385",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axline Pharmacy (08)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Axline Pharmacy (08)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bushnell, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.