Carlinville Health & Prescriptions Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054005698 Issued in IL

Legal business name

CARLINVILLE HEALTH & PRESCRIPTIONS SERVICES INC

Doing business as

Sullivan Drugs of Carlinville

Practice address

920 W Main St
Carlinville, IL 62626-1200

Phone

(217) 854-6121

Fax

(217) 854-6131

NPI assigned

May 15, 2006

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Owen SullivanNPI 1164474748

Title

President

Phone

(217) 854-6121

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Sullivan Drugs of Carlinville Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carlinville Health & Prescription Services

  dba Sullivan Drugs

  • Pharmacy
  • Carlinville, IL
  • NPI 1265417281

  O20100930057898

  Same enrollment

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 1

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.

• Owen P Sullivan, RPH

  • Pharmacist
  • Carlinville, IL
  • NPI 1164474748
  NPD Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1821049594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W MAIN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261200",
            "telephone_number": "217-854-6121",
            "fax_number": "217-854-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W MAIN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261200",
            "telephone_number": "217-854-6121",
            "fax_number": "217-854-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLINVILLE HEALTH & PRESCRIPTIONS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-854-6121"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054005698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022864",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Drugs of Carlinville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlinville Area Hospital Association (Carlinville Family Health Care)
• Carlinville Chiropractic Clinic LTD
• Carlinville Community Unit School District #1
• Carlinville Eye Care PC
• Carlinville Health & Prescription Services (Sullivan Drugs)
• Carlinville Medical Clinic, Inc.
• Carlinville Medical Clinic, Inc.
• Carlinville Rehabilitation and Health Care Center, LLC (Carlinville Rehabilitation and Health Care Center)
• Carlinville Senior Living LLC (The Village at Morse Farm)
• Steven A Carr, D.M.D.

• Community/Retail Pharmacy in Carlinville, IL
• Providers in Carlinville, 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 Jan 20, 2022; 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.