JERRY MAYBERRY
NPI 1356387443
Pharmacist in Carmi, IL

Active since June 20, 2006
1400 W MAIN ST, CARMI, IL 62821(618) 382-4636(618) 382-7970 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Mayberry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY MAYBERRY (NPI 1356387443) is an individual pharmacist in Carmi, Illinois and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1356387443
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJERRY MAYBERRY
Location Address1400 W MAIN STCarmi, IL 62821-1387
Mailing Address202 April AveCarmi, IL 62821-1545 · (618) 382-8150 · Fax (618) 382-7970
Fax(618) 382-7970
Sole ProprietorYes
Enumeration DateJune 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1356387443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1400 W MAIN ST, Carmi, IL 62821

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1400 W MAIN ST
CARMI, IL 62821
Clinic/Center (Rural Health)
1400 W MAIN ST
CARMI, IL 62821
Pharmacy
1400 W MAIN ST, 202 APRIL AVENUE
CARMI, IL 62821
Clinic/Center (Federally Qualified Health Center (FQHC))
1400 W MAIN ST
CARMI, IL 62821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Mayberry's NPI number?

The NPI number for Jerry Mayberry is 1356387443. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Jerry Mayberry located?

Jerry Mayberry practices at 1400 W Main St, Carmi, IL 62821. The listed phone number is (618) 382-4636.

What is Jerry Mayberry's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jerry Mayberry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.