Individual provider Active NPI

Patrick McLaughlin

  • Pharmacist
  • Champaign, IL
National Provider Identifier
1336805357
Registry record updated Nov 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051294800 Issued in IL
Practice address
2401 N Prospect Ave
Champaign, IL 61822-1233
Phone
(217) 353-4010
Fax
(217) 353-4065
NPI assigned
Nov 14, 2021
Last updated
Nov 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051294800 IL Primary

Addresses

Primary practice location

2401 N Prospect Ave
Champaign, IL 61822-1233

Mailing address

2105 S Stonebrooke CT
Urbana, IL 61802-2174
Phone (217) 493-5197

Other practice location 1

2401 N Prospect Ave
Champaign, IL 61822-1233
Phone (217) 353-4010

Other identifiers 1

IdentifierTypeStateIssuer
051294800OtherILILLINOIS PHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
051294800ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636848000000",
    "number": "1336805357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 S STONEBROOKE CT",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618022174",
            "telephone_number": "217-493-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N PROSPECT AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221233",
            "telephone_number": "217-353-4010",
            "fax_number": "217-353-4065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 N Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618221233",
            "country_code": "US",
            "telephone_number": "217-353-4010",
            "fax_number": "217-353-4065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051294800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PHARMACY LICENSE",
            "identifier": "051294800",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; 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.