Active NPI
Carle Foundation Hospital
- Pharmacy
- Urbana, IL
National Provider Identifier
1508922022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CARLE FOUNDATION HOSPITAL
- Practice address
- 602 W University Ave
Urbana, IL 61801-2530 - Phone
- (217) 383-3250
- Fax
- (217) 383-3524
- NPI assigned
- Dec 29, 2006
- Organization subpart
- Yes
- Parent organization
- CARLE FOUNDATION HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert E Tonkinson Jr.
- Title
- Chief Financial Officer
- Phone
- (217) 383-3441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | IL | Primary |
Addresses
Primary practice location
602 W University Ave
Urbana, IL 61801-2530
Mailing address
611 W Park St
Urbana, IL 61801-2500
Phone (217) 326-2906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1452426 | Other | NABP ID NUMBER |
Other names 1
- Carle RX Express
National Provider Directory
National Provider Directory- Part of
- Carle Home Infusion
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1508922022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500",
"telephone_number": "217-326-2906",
"fax_number": "217-326-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 W UNIVERSITY AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618012530",
"telephone_number": "217-383-3250",
"fax_number": "217-383-3524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLE FOUNDATION HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARLE FOUNDATION HOSPITAL",
"enumeration_date": "2006-12-29",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "TONKINSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "217-383-3441",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP ID NUMBER",
"identifier": "1452426",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carle RX Express",
"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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.