Plum Street Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.017833 Issued in IL

Legal business name

PLUM STREET PHARMACY

Practice address

311 Plum St
Carmi, IL 62821-1632

Phone

(618) 382-8400

Fax

(618) 382-5700

NPI assigned

Dec 7, 2011

Organization subpart

No

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

Authorized official

Name

Don GeeNPI 1144657370

Title

Pharmacist/Owner

Phone

(618) 382-8330

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Plum Street Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Don Andrew Gee, RPH

  • Pharmacist
  • Carmi, IL
  • NPI 1144657370
  NPD Authorized official
• Kristina Buchta, RPH

  • Pharmacist
  • Carmi, IL
  • NPI 1811587926
  NPD (past)
• Jerica Sneed

  • Pharmacist
  • Carmi, IL
  • NPI 1710577812
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1619245404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PLUM ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211632",
            "telephone_number": "618-382-8400",
            "fax_number": "618-382-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PLUM ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211632",
            "telephone_number": "618-382-8400",
            "fax_number": "618-382-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "618-382-8330"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.017833",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349683015001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plum Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas J Oxford, P.T.
• Paul D Hayse
• Tami Jill Payne, PTA
• Peoplefirst
• Phoenix Rehabilitation and Nursing Care, Inc. NFP
• Arlene Porter, MSW
• Makala Lynn Ralph
• Ashley Rhodes, LPN
• Oma Snedecor Rice, LCSW
• Bennett Richter, MS, LAT, ATC

• Community/Retail Pharmacy in Carmi, IL
• Providers in Carmi, 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 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.