Profesional Pharmacy Managers LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054017877 Issued in IL

Legal business name

PROFESIONAL PHARMACY MANAGERS LLC

Doing business as

Granville Drug

Practice address

314 S McCoy St
Granville, IL 61326-9333

Phone

(815) 339-2286

Fax

(815) 339-2288

NPI assigned

Dec 9, 2005

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Tyner

Title

Owner

Phone

(815) 853-4342

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GRANVILLE DRUG Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toni Marie Lawley, R.PH.

  • Pharmacist
  • Granville, IL
  • NPI 1477834802
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1508841834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "GRANVILLE",
            "state": "IL",
            "postal_code": "613260340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S MCCOY ST",
            "city": "GRANVILLE",
            "state": "IL",
            "postal_code": "613269333",
            "telephone_number": "815-339-2286",
            "fax_number": "815-339-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESIONAL PHARMACY MANAGERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "TYNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-853-4342"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054017877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1410567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANVILLE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angella Marie Greenwood, APN, FNP, BC
• Damian W Grivetti, MD
• Toni Marie Lawley, R.PH.
• Mendota Community Hospital (OSF Healthcare - Medical Group - Granville)
• Maria Ann Mignone, M.S. CCC-SLP/L
• Putnam Co C U School Dist 535
• St. Margaret's Hospital (SMH Granville Clinic)
• Yepsen Chiropractic Inc
• Alan Robert Yepsen, D.C.

• Community/Retail Pharmacy in Granville, IL
• Providers in Granville, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.