Organization Active NPI

Aussieker Graue Rohrer LLC

Doing business as Mt Pulaski Pharmacy

  • Pharmacy
  • Mount Pulaski, IL
National Provider Identifier
1558462010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
AUSSIEKER GRAUE ROHRER LLC
Doing business as
Mt Pulaski Pharmacy
Practice address
507 E Chestnut
Mt Pulaski, IL 62548-1008
Phone
(217) 792-5081
Fax
(217) 792-5182
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brad J Aussieker, RPH
Title
Owner Partner
Phone
(217) 792-5081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X IL Primary

Addresses

Primary practice location

507 E Chestnut
Mt Pulaski, IL 62548-1008

Mailing address

507 E Chestnut
Mt Pulaski, IL 62548-1008
Phone (217) 792-5081

Other names 1

  • Mt Pulaski Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

507 E Chestnut St
Mount Pulaski, IL 62548
Phone (217) 792-5081

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558462010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E CHESTNUT",
            "city": "MT PULASKI",
            "state": "IL",
            "postal_code": "625481008",
            "telephone_number": "217-792-5081",
            "fax_number": "217-792-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E CHESTNUT",
            "city": "MT PULASKI",
            "state": "IL",
            "postal_code": "625481008",
            "telephone_number": "217-792-5081",
            "fax_number": "217-792-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSSIEKER GRAUE ROHRER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSSIEKER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "217-792-5081",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Pulaski Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pulaski, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.