Organization Active NPI

Illinois Pharmacists Management Enterprises, LLC

Doing business as Illinois Community Pharmacy Enhanced Network and Clinic Services

  • Pharmacist
  • Springfield, IL
National Provider Identifier
1619774296
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
ILLINOIS PHARMACISTS MANAGEMENT ENTERPRISES, LLC
Doing business as
Illinois Community Pharmacy Enhanced Network and Clinic Services
Practice address
204 W Cook St
Springfield, IL 62704-2526
Phone
(217) 522-7300
Fax
(217) 522-7349
NPI assigned
Feb 28, 2025
Last updated
Feb 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Garth Reynolds, BSPHARM, RPHNPI 1902895873
Title
Chief Executive Officer
Phone
(217) 522-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X Primary

Addresses

Primary practice location

204 W Cook St
Springfield, IL 62704-2526

Mailing address

204 W Cook St
Springfield, IL 62704-2526
Phone (217) 522-7300

Other names 1

  • Illinois Community Pharmacy Enhanced Network and Clinic Services Doing business as

National Provider Directory

National Provider Directory

Locations

204 W Cook St
Springfield, IL 62704
Phone (217) 522-7300

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1619774296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W COOK ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042526",
            "telephone_number": "217-522-7300",
            "fax_number": "217-522-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W COOK ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042526",
            "telephone_number": "217-522-7300",
            "fax_number": "217-522-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PHARMACISTS MANAGEMENT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "GARTH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "217-522-7300",
        "authorized_official_credential": "BSPHARM, RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illinois Community Pharmacy Enhanced Network and Clinic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.