Pharmacy Plus, Inc.
Organization Active NPI Community/Retail Pharmacy · White Hall, IL
NPI 1295078137 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1295078137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054018147 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Byron A. Berry Jr., RPH
- Title
- President
- Phone
- (217) 942-3427
Corporate family (same tax ID) 6
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2207957 | Pharmacy Plus Inc | Certificate of waiver | Jan 2, 2027 |
National Provider Directory
- Tax ID family
- Pharmacy Plus Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 054018147 | IL | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054018147 | Other | IL | ILLINOIS PHARMACY LICENSE |
Other providers in White Hall, IL
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- Susan Randall
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- Daniel Francis Woodlock
All providers in White Hall, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.