NPIMap

Organization Active NPI

Independence Holding Co LLC

Doing business as complete care pharmacy champaign

  • Pharmacy
  • Champaign, IL
National Provider Identifier
1346674280
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054018086 Issued in IL
Legal business name
INDEPENDENCE HOLDING CO LLC
Doing business as
complete care pharmacy champaign
Practice address
14 E Washington St Ste C
Champaign, IL 61820-3677
Phone
(217) 355-6607
Fax
(217) 355-6639
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Bruce A Strike
Title
Pharmacist
Phone
(217) 355-6607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054018086 IL Primary

Addresses

Primary practice location

14 E Washington St Ste C
Champaign, IL 61820-3677

Mailing address

14 E Washington St Ste C
Champaign, IL 61820-3677
Phone (217) 355-6607

Other names 1

  • complete care pharmacy champaign Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Complete Care Pharmacy Champaign4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1346674280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E WASHINGTON ST STE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203677",
            "telephone_number": "217-355-6607",
            "fax_number": "217-355-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E WASHINGTON ST STE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203677",
            "telephone_number": "217-355-6607",
            "fax_number": "217-355-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HOLDING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "STRIKE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "217-355-6607"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054018086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "complete care pharmacy champaign",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2013; 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.