Organization Active NPI

North Alton Pharmacy Inc

Doing business as LeClaire Family Pharmacy

  • Community/Retail Pharmacy
  • Alton, IL
National Provider Identifier
1881607422
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
54.013658 Issued in IL
Legal business name
NORTH ALTON PHARMACY INC
Doing business as
LeClaire Family Pharmacy
Practice address
2601 State St
Alton, IL 62002-5151
Phone
(618) 466-5633
Fax
(618) 466-5695
NPI assigned
Aug 14, 2006
Last updated
Jan 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Mr. Gerry Eugene Leclaire Sr., R.PH.NPI 1982616504
Title
Owner
Phone
(618) 466-5633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 54.013658 IL Primary

Addresses

Primary practice location

2601 State St
Alton, IL 62002-5151

Mailing address

2601 State St
Alton, IL 62002-5151
Phone (618) 466-5633

Other names 1

  • LeClaire Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2601 State St
Alton, IL 62002
Phone (618) 466-5633

Practitioners & affiliated clinicians

Practitioners 3

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1881607422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 STATE ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025151",
            "telephone_number": "618-466-5633",
            "fax_number": "618-466-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 STATE ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025151",
            "telephone_number": "618-466-5633",
            "fax_number": "618-466-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ALTON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "LECLAIRE",
        "authorized_official_first_name": "GERRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-466-5633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "54.013658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeClaire Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.