NPIMap

Organization Active NPI

Pharmacy Plus, Inc.

  • Community/Retail Pharmacy
  • White Hall, IL
National Provider Identifier
1295078137
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054018147 Issued in IL
Legal business name
PHARMACY PLUS, INC.
Practice address
116 N Main St
White Hall, IL 62092-1054
Phone
(217) 374-2222
Fax
(217) 374-2220
NPI assigned
Mar 28, 2013
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Mr. Byron A. Berry Jr., RPH
Title
President
Phone
(217) 942-3427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054018147 IL Primary

Addresses

Primary practice location

116 N Main St
White Hall, IL 62092-1054

Mailing address

116 N Main St
White Hall, IL 62092-1054
Phone (217) 374-2222

Other identifiers 1

IdentifierTypeStateIssuer
054018147OtherILILLINOIS PHARMACY LICENSE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2207957Pharmacy Plus Inc116 North Main, White Hall, IL 62092Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Plus 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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1295078137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "WHITE HALL",
            "state": "IL",
            "postal_code": "620921054",
            "telephone_number": "217-374-2222",
            "fax_number": "217-374-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "WHITE HALL",
            "state": "IL",
            "postal_code": "620921054",
            "telephone_number": "217-374-2222",
            "fax_number": "217-374-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-942-3427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PHARMACY LICENSE",
            "identifier": "054018147",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.