CAMARATO DRUG INC (NPI# 1245493865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245493865 |
| Entity Type | Organization |
| Organization Name | CAMARATO DRUG INC |
| Other Organization Name | GOREVILLE PROFESSIONAL PHARMACY |
| Practice Address |
901 S Broadway Goreville IL 62939-2477 |
| Mailing Address |
Po Box 398 Herrin IL 62948-0398 |
| Practice Telephone | 6189951555 |
| Practice Fax Number | 6189951553 |
| Mailing Telephone | 6189935555 |
| Mailing Fax Number | 6189936800 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-12-04 |
| Authorized Official Name | MATTHEW CAMARATO (PRESIDENT) |
| Authorized Official Telephone | 6189951555 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054016439 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2023696 | 01 |
| Other Name | Type Code |
|---|---|
| GOREVILLE PROFESSIONAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497766034 | Camarato Drug Inc | Pharmacy | 303 Rushing Dr, Herrin, IL 62948-3749 | 2006-08-10 |
| Street Address |
901 S BROADWAY |
| City | GOREVILLE |
| State | IL |
| Zip Code | 62939-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720288756 | Sally J Ballard | Physician Assistant | 200 S Broadway, Goreville, IL 62939 | 2007-07-18 |
| 1063632818 | Raymond C Otte | Dentist | 112 W. Main St., Goreville, IL 62939-0008 | 2007-04-26 |
| 1619287232 | Tricia Ann Bailey | Developmental Therapist | 270 Regent Ln, Goreville, IL 62939-1913 | 2010-10-16 |
| 1629189238 | Janet S White | Physician Assistant | 400 S Broadway, Goreville, IL 62939-2444 | 2006-08-31 |
| 1962763045 | Rural Health, Inc. | Clinic/Center | 400 S Broadway, Goreville, IL 62939-2444 | 2012-06-05 |
| 1124237839 | Randle Earl Doty | Nurse Practitioner | 200 S Broadway # 40, Goreville, IL 62939-2447 | 2007-05-21 |
| 1790980985 | Cls Medical Inc. | Clinic/Center | 200 S Broadway, Goreville, IL 62939-2447 | 2007-06-18 |
| 1114440179 | Keith Samuel Bass | Nurse Practitioner | 400 S Broadway, Goreville, IL 62939-2484 | 2017-07-21 |
| 1548897986 | Cr Vaughn Inc | Contractor | 600 Dunn Ln, Goreville, IL 62939-2487 | 2020-03-25 |
| 1457605834 | Amber Conyea | Physical Therapy Assistant | 1238 Francis Ln, Goreville, IL 62939-2514 | 2012-11-06 |
| Find all providers in zip 62939 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
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| Find all providers with the same taxonomy | ||||
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| 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.