Gary Lawrence Breece, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

Practice address

116 N Main St
White Hall, IL 62092-1054

Phone

(217) 374-6712

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Drug Inc.

  • Community/Retail Pharmacy
  • White Hall, IL
  • NPI 1447300926
  Authorized official Same address or phone

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306970769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "city": "WHITE HALL",
            "state": "IL",
            "postal_code": "620921186",
            "telephone_number": "217-374-2988"
        },
        {
            "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": "217-374-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREECE",
        "first_name": "GARY",
        "middle_name": "LAWRENCE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Netherine Lann Valencia Agsalda, RPT
• Loida Lim Baculanta, PT
• Sabrina Marie Bailey
• Janice Knight Breece, RPH
• Jason Campbell, PHARM.D.
• City Drug Inc.
• Dennis L. Drake, D.C.
• Ann Catherine Dunphy, LSW, SSW, MSW

• Pharmacist in White Hall, IL
• Providers in White Hall, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.