Active NPI
Thomas Norbert Cerny, R.PH.
- Ambulatory Care Pharmacist
- Carbondale, IL
National Provider Identifier
1780133165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 051036715
- Practice address
- 374 E Grand Ave
Carbondale, IL 62901-3962 - Phone
- (618) 453-4417
- Fax
- (618) 453-4672
- NPI assigned
- Sep 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 051036715 | IL | Primary |
Addresses
Primary practice location
374 E Grand Ave
Carbondale, IL 62901-3962
Mailing address
374 E Grand Ave
Carbondale, IL 62901-3962
Phone (618) 453-4417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051036715 | IL | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1780133165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 E GRAND AVE",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013962",
"telephone_number": "618-453-4417",
"fax_number": "618-453-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 E GRAND AVE",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013962",
"telephone_number": "618-453-4417",
"fax_number": "618-453-4672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERNY",
"first_name": "THOMAS",
"middle_name": "NORBERT",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "IL",
"license": "051036715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.