Active NPI
Eric Patrick Carr, PHARMD
- Pharmacist
- Normal, IL
National Provider Identifier
1427330182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.292476
- Practice address
- 505 W Raab Rd
Normal, IL 61761-1007 - Phone
- (309) 454-7347
- Fax
- (309) 454-3915
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.292476 | IL | Primary |
Addresses
Primary practice location
505 W Raab Rd
Normal, IL 61761-1007
Mailing address
55 Yukon Cir
Bloomington, IL 61705-8824
Phone (847) 867-5365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362127039410 | Medicaid | IL |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.292476 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1427330182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 YUKON CIR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617058824",
"telephone_number": "847-867-5365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 W RAAB RD",
"city": "NORMAL",
"state": "IL",
"postal_code": "617611007",
"telephone_number": "309-454-7347",
"fax_number": "309-454-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "ERIC",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.292476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362127039410",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
- Carle Bromenn Medical Center (Advocate BroMenn Medical Center)
- Carle Bromenn Medical Center (Advocate BroMenn Medical Center)
- Carle Bromenn Medical Center (The Atrium Pharmacy)
- Carle West Physician Group Inc
- Erin M Carmean, PA-C
- Erin Weslee Carr, CF-SLP
- Alessandra Carriero
- Cheri Carroll, L.C.S.W.
- Erin Marie Carroll, ATC
- Patrick J. Carroll, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.