Polyclinic Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

054009124 Issued in IL

Legal business name

POLYCLINIC PHARMACY INC

Practice address

707 N Logan Ave
Danville, IL 61832-4360

Phone

(217) 446-3784

Fax

(217) 446-0370

NPI assigned

Jan 19, 2006

Last updated

Aug 10, 2012By 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

Mr. Inderjit S Rakalla, R.PH.

Title

President

Phone

(217) 446-3784

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1841270386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324360",
            "telephone_number": "217-446-3784",
            "fax_number": "217-446-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324360",
            "telephone_number": "217-446-3784",
            "fax_number": "217-446-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYCLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "RAKALLA",
        "authorized_official_first_name": "INDERJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-446-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054009124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul F Plattner, MD
• Christina Plummer, BS
• Deborah Ann Plush
• Pointcore, Inc. (OSF Pharmacy)
• Polyclinic Pharmacy Inc (polyclinic medical equip co)
• Polyclinic Pharmacy Inc.
• Poolside Health & Wellness Center
• Julie A Porter, LCSW
• Angela R Powell
• Kristy Lee Powell, MS, RD, LD

• Pharmacy in Danville, IL
• Providers in Danville, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.