Organization Active NPI

The Carle Foundation Hospital

Doing business as Carle Home Infusion Pharmacy

  • Home Infusion Agency
  • Urbana, IL
National Provider Identifier
1457347668
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
THE CARLE FOUNDATION HOSPITAL
Doing business as
Carle Home Infusion Pharmacy
Practice address
221 N Broadway Ave Ste 100
Urbana, IL 61801-2747
Phone
(217) 383-3099
NPI assigned
Sep 22, 2005
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CARLE FOUNDATION HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
James Leonard, MD
Title
Ceo
Phone
(217) 383-3220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

221 N Broadway Ave Ste 100
Urbana, IL 61801-2747

Mailing address

611 W Park
Urbana, IL 61801
Phone (217) 383-3311

Other identifiers 1

IdentifierTypeStateIssuer
1466944OtherILNATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS

Other names 1

  • CARLE HOME INFUSION PHARMACY Doing business as

National Provider Directory

National Provider Directory
Part of
The Carle Hospital Foun

Locations

221 N Broadway Ave
Urbana, IL 61801
Phone (217) 383-4647

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1457347668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-383-3311",
            "fax_number": "217-355-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N BROADWAY AVE STE 100",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012747",
            "telephone_number": "217-383-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARLE FOUNDATION HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARLE FOUNDATION HOSPITAL",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-383-3220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS",
            "identifier": "1466944",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARLE HOME INFUSION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.