Organization Active NPI

Clinic Pharmacy

  • Pharmacy
  • Pinckneyville, IL
National Provider Identifier
1841336799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CLINIC PHARMACY
Practice address
206 North Main Street
Pinckneyville, IL 62274-0364
Phone
(618) 357-2871
Fax
(618) 357-2174
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Clayton E Emling, RPH
Title
Owner
Phone
(618) 357-2871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X IL Primary

Addresses

Primary practice location

206 North Main Street
Pinckneyville, IL 62274-0364

Mailing address

PO Box 364
Pinckneyville, IL 62274-0364
Phone (618) 357-2871

National Provider Directory

National Provider Directory

Locations

206 N Main St
Pinckneyville, IL 62274
Phone (618) 357-2181

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841336799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622740364",
            "telephone_number": "618-357-2871",
            "fax_number": "618-357-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NORTH MAIN STREET",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622740364",
            "telephone_number": "618-357-2871",
            "fax_number": "618-357-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EMLING",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-357-2871",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckneyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.