NPIMap

Organization Active NPI

Independence Holding Co LLC

  • Pharmacy
  • Springfield, IL
National Provider Identifier
1982957403
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
054.014959 Issued in IL
Legal business name
INDEPENDENCE HOLDING CO LLC
Practice address
201 N 5TH St
Springfield, IL 62701-1001
Phone
(217) 528-8096
Fax
(217) 528-8152
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
John Endris
Title
Pharmacist
Phone
(217) 528-8096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 054.014959 IL Primary

Addresses

Primary practice location

201 N 5TH St
Springfield, IL 62701-1001

Mailing address

4650 Industrial Dr
Springfield, IL 62703-5318
Phone (217) 467-8281

Other names 1

  • Complete Care Pharmacy Downtown Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Complete Care Pharmacy Champaign4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4650 Industrial Ave
Springfield, IL 62703

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1982957403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 INDUSTRIAL DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035318",
            "telephone_number": "217-467-8281",
            "fax_number": "217-467-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011001",
            "telephone_number": "217-528-8096",
            "fax_number": "217-528-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HOLDING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "ENDRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "217-528-8096"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054.014959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care Pharmacy Downtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

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