Brian Wayne Logue, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

Practice address

101 N University St
Isu Health Service Pharmacy
Normal, IL 61790-2540

Phone

(309) 438-8713

Fax

(309) 438-7569

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illinois State University

  • Community/Retail Pharmacy
  • Normal, IL
  • NPI 1952460388
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649345786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32800 FAST AVE",
            "city": "MACKINAW",
            "state": "IL",
            "postal_code": "617558894",
            "telephone_number": "309-359-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N UNIVERSITY ST",
            "address_2": "ISU HEALTH SERVICE PHARMACY",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617902540",
            "telephone_number": "309-438-8713",
            "fax_number": "309-438-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "BRIAN",
        "middle_name": "WAYNE",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Liu
• Joel Thomas Lockhart, MS, LAT, ATC
• Loft Rehabilitation and Nursing of Normal LLC
• Alexa Loftus
• Prudence Logan, ST
• Laura J. Long, CRNA
• Nicole M Lord, APRN, CNP
• John Lorio, LCSW
• Matthew Dennis Loy, RPH
• Rebecca Ludolph, RN

• Pharmacist in Normal, IL
• Providers in Normal, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.