NPIMap

Organization Active NPI

Carle Foundation Hospital

  • Institutional Pharmacy
  • Urbana, IL
National Provider Identifier
1861648099
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
054016488 Issued in IL
Legal business name
CARLE FOUNDATION HOSPITAL
Practice address
1818 E Windsor Rd
Urbana, IL 61802-9566
Phone
(217) 255-9790
Fax
(217) 255-9791
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Gregory Puszkiewicz
Title
Director of RX Express
Phone
(217) 383-4905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 054016488 IL Primary

Addresses

Primary practice location

1818 E Windsor Rd
Urbana, IL 61802-9566

Mailing address

611 W Park St
Urbana, IL 61801-2500
Phone (217) 326-2913

Other identifiers 1

IdentifierTypeStateIssuer
1482253OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Carle Rx Express Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1086528Carle Foundation Hospital - Windsor1818 E Windsor Rd, Urbana, IL 61802AccreditationSep 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Carle Home Infusion29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1861648099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-326-2913",
            "fax_number": "217-326-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E WINDSOR RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618029566",
            "telephone_number": "217-255-9790",
            "fax_number": "217-255-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLE FOUNDATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "PUSZKIEWICZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF RX EXPRESS",
        "authorized_official_telephone_number": "217-383-4905"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "IL",
            "license": "054016488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1482253",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carle Rx Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.