THE CARBONDALE CLINIC PHARMACY - NPI 1710043435

Q: What is The Carbondale Clinic Pharmacy's NPI number?

The NPI number for The Carbondale Clinic Pharmacy is 1710043435. It was assigned to this organization in the NPPES registry on December 28, 2006.

Q: What is The Carbondale Clinic Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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About The Carbondale Clinic Pharmacy NPPES

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

THE CARBONDALE CLINIC PHARMACY (NPI 1710043435) is a healthcare organization registered as a community/retail pharmacy in Carbondale, Illinois and active in the NPI registry since December 2006. The organization lists Allan Norman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710043435

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTHE CARBONDALE CLINIC PHARMACY

Location Address2601 W MAIN ST, SUITE 101Carbondale, IL 62901-1031

Mailing Address2601 W Main St, Suite 101Carbondale, IL 62901-1031 · (618) 549-5361 · Fax (618) 549-5158

Phone(618) 549-5361

Fax(618) 549-5158

Organization SubpartYesParent: The Carbondale Clinic, S.c.

Authorized OfficialAllan NormanCeo · (618) 549-5361

Enumeration DateDecember 28, 2006

Last NPPES UpdateApril 30, 2008

✔ NPI 1710043435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in IL · 0054-009512

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacistTaxonomy 183500000X · License 051-034485 (IL), 051-023018 (IL)

Also ListedPharmacy TechnicianTaxonomy 183700000X · License 049-083922 (IL), 049-127699 (IL), 049-173061 (IL), 049-156580 (IL), 049-169519 (IL)

2601 W MAIN ST, Carbondale, IL 62901

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Other Identifiers 2

Other1454014IL · Nabp

Other1296860001IL · Medicare Legacy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MELISSA A MARTINEZ MATEO M.D.

Internal Medicine (Gastroenterology)