Organization Active NPI

Timmermann & Associates Inc

Doing business as Comprehensive Care Pharmacy

  • Community/Retail Pharmacy
  • Breese, IL
National Provider Identifier
1871504373
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054014154 Issued in IL
Legal business name
TIMMERMANN & ASSOCIATES INC
Doing business as
Comprehensive Care Pharmacy
Practice address
117 Clintonian PLZ
Breese, IL 62230-1501
Phone
(618) 526-8040
Fax
(618) 526-8072
NPI assigned
Aug 10, 2006
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Mark Timmermann
Title
Owner
Phone
(618) 526-8040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054014154 IL Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

117 Clintonian PLZ
Breese, IL 62230-1501

Mailing address

117 Clintonian PLZ
Breese, IL 62230-1501
Phone (618) 526-8040

Other identifiers 1

IdentifierTypeStateIssuer
2022128OtherPK

Other names 1

  • COMPREHENSIVE CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1871504373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CLINTONIAN PLZ",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301501",
            "telephone_number": "618-526-8040",
            "fax_number": "618-526-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CLINTONIAN PLZ",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622301501",
            "telephone_number": "618-526-8040",
            "fax_number": "618-526-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMMERMANN & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "TIMMERMANN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-526-8040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054014154",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breese, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.