Charles Theodore Barkulis Sr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

Practice address

2201 E Oakland Ave
Bloomington, IL 61701-5760

Phone

(309) 663-6341

Fax

(309) 663-6910

NPI assigned

Mar 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Diamond, IL
  • NPI 1013786706
  NPD (past)
• American Drug Stores LLC

  dba Osco Drug #0116

  • Community/Retail Pharmacy
  • Bloomington, IL
  • NPI 1194771865
  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386773612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 E GROVE ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014258",
            "telephone_number": "309-662-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E OAKLAND AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015760",
            "telephone_number": "309-663-6341",
            "fax_number": "309-663-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKULIS",
        "first_name": "CHARLES",
        "middle_name": "THEODORE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth R Barba, M.D.
• Linda Barber
• Janet Christine Bardell, D.M.D.
• Stephanie Ann Barisch, MS, LCPC
• Emily Barker, APRN, DNP, PMHNP-BC
• Wesley Barlow
• Anitta Barnabas, DDS
• Gabriela N Barnas
• Dariell K Barnes
• Seth Thomas Barnett, DMD

• Pharmacist in Bloomington, IL
• Providers in Bloomington, 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.