CARLE FOUNDATION HOSPITAL (NPI# 1720133119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720133119 |
| Entity Type | Organization |
| Organization Name | CARLE FOUNDATION HOSPITAL |
| Other Organization Name | CARLE RX EXPRESS |
| Practice Address |
108 N Market St Monticello IL 61856-1636 |
| Mailing Address |
611 W Park St Urbana IL 61801-2500 |
| Practice Telephone | 2177624766 |
| Practice Fax Number | 2177629401 |
| Mailing Telephone | 2173262906 |
| Mailing Fax Number | 2173262996 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT E TONKINSON JR. (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2173833441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NABP ID NUMBER | 1464142 | 01 |
| Other Name | Type Code |
|---|---|
| Carle RX Express | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891102851 | Carle Foundation Hospital | Private Vehicle | 9 Taylor, Champaign, IL 61820-4006 | 2014-07-22 |
| 1649588443 | Carle Foundation Hospital | General Acute Care Hospital | 602 W. University Ave., Urbana, IL 61801 | 2010-09-15 |
| 1265605117 | Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 509 West University, Suite 1201, Urbana, IL 61801 | 2008-04-10 |
| 1841480589 | Carle Foundation Hospital | General Acute Care Hospital | 307 E. Oak St., Mahomet, IL 61853-9248 | 2007-07-30 |
| 1871648600 | Carle Foundation Hospital | Pharmacy | 1701 West Curtis Rd, Champaign, IL 61822-9678 | 2007-01-24 |
| 1013062454 | Carle Foundation Hospital | Pharmacy | 1208 N Cunningham Ave, Urbana, IL 61802-1801 | 2007-01-24 |
| 1710221064 | Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 509 W University Ave, Urbana, IL 61801-1645 | 2012-11-26 |
| 1558690198 | Carle Foundation Hospital | General Acute Care Hospital | 602 W University Ave, Urbana, IL 61801-2530 | 2009-12-10 |
| 1861648099 | Carle Foundation Hospital | Pharmacy | 1818 E Windsor Rd, Urbana, IL 61802-9566 | 2008-08-07 |
| 1427225044 | Carle Foundation Hospital | Family Medicine | 602 W University Ave, Sc-2, Urbana, IL 61801-2530 | 2008-05-13 |
| Street Address |
108 N MARKET ST |
| City | MONTICELLO |
| State | IL |
| Zip Code | 61856-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357984 | Kelly Lynn Smith | Pharmacist | 108 N Market St, Monticello, IL 61856-1636 | 2020-08-17 |
| 1487937405 | Erin Marie White | Pharmacist | 108 N Market St, Monticello, IL 61856-1636 | 2011-09-26 |
| 1427340462 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 108 N Market St, Monticello, IL 61856-1636 | 2011-05-10 |
| 1205053402 | Paula Marie Goethe | Pharmacist | 108 N Market St, Monticello, IL 61856-1636 | 2007-04-19 |
| 1255473187 | Carle Rx Express Pharmacy | Pharmacist | 108 N Market St, Monticello, IL 61856-1636 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565783 | Jeffrey D. Hanley | Hearing Instrument Specialist | 107 S. State Street, Audibel Hearing Aids, Monticello, IL 61856 | 2014-11-17 |
| 1073636510 | John Paul Rupkey | Pharmacist | 1212 Bear Lane, Monticello, IL 61856 | 2007-04-09 |
| 1104959998 | Pediatric Physical Therapy of Central Illinois Ltd | Physical Therapist | 123 W William Street, Monticello, IL 61856 | 2007-03-13 |
| 1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
| 1639186315 | Bruce Charles Wintersteen | Dentist | 112 E Wash St, Monticello, IL 61856 | 2006-08-02 |
| 1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
| 1922389089 | Anne Katherine Marshall | Physician Assistant | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-09-02 |
| 1790089548 | Kristine R Donaldson | Social Worker | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-01-07 |
| 1295814556 | Piatt Co | Skilled Nursing Facility | 1111 N State St, Monticello, IL 61856 | 2006-11-06 |
| 1811954878 | Brian C Yocks | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856 | 2006-04-26 |
| Find all providers in zip 61856 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1568935757 | Neighborcare Pharmacy | Pharmacy | 3 Short St., Monticello, GA 31064 | 2019-01-10 |
| 1790116523 | Southeast Arkansas Pharmacies LLC | Pharmacy | 539 Highway 425 S, Monticello, AR 71655-4674 | 2013-12-04 |
| 1417021932 | Monticello Drug Inc | Pharmacy | 109 W Gaines St, Monticello, AR 71655-4717 | 2006-11-17 |
| 1508971383 | Shoprite Supermarkets, Inc | Pharmacy | 4440 State Route 42, Monticello, NY 12701-4844 | 2006-08-20 |
| 1740295344 | Family Drug Store | Pharmacy | 524 Broadway, Monticello, NY 12701-1154 | 2006-07-30 |
| 1477584472 | K Mart Corp | Pharmacy | 300 W 7th St, Monticello, MN 55362-8325 | 2006-07-06 |
| 1235112954 | Khk Operating Corp | Pharmacy | 458 Broadway, Monticello, NY 12701-1732 | 2005-11-28 |
| 1205260544 | Lynns Family Pharmacy, P.C. | Pharmacy | 1402 N Market St, Monticello, IL 61856-8002 | 2013-08-22 |
| 1457692717 | Centracare Health System - Nr, LLC | Pharmacy | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-03-12 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 61856 |
Please comment or provide details below to improve the information on CARLE FOUNDATION HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.