SPRINGFIELD CLINIC, LLP (NPI# 1316483266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316483266 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD CLINIC, LLP |
| Other Organization Name | SPRINGFIELD CLINIC, LLP |
| Practice Address |
900 N 1st St Rm 4066 Springfield IL 62702-3749 |
| Practice Telephone | 2173916940 |
| Mailing Telephone | 2173916940 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | WILLIAM BREWER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2173916940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 054.020218 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2167219 | 01 |
| Other Name | Type Code |
|---|---|
| Springfield Clinic, LLP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922285600 | Springfield Clinic, LLP | Clinic/Center | 105 E State St, Nokomis, IL 62075-1341 | 2008-01-25 |
| 1235316191 | Springfield Clinic, LLP | Clinic/Center | 303 E Bidwell St, Taylorville, IL 62568-1363 | 2008-01-23 |
| 1972780278 | Springfield Clinic, LLP | Durable Medical Equipment & Medical Supplies | 1025 S 6th St, Springfield, IL 62703-2403 | 2008-01-29 |
| 1518143452 | Springfield Clinic, LLP | Clinic/Center | 100 Stahlhut Dr, Lincoln, IL 62656-5059 | 2008-01-10 |
| 1316123284 | Springfield Clinic, LLP | Durable Medical Equipment & Medical Supplies | 800 N 1st St, Springfield, IL 62702-3719 | 2008-01-10 |
| 1780893578 | Springfield Clinic, LLP | Clinic/Center | 600 N Main St, Taylorville, IL 62568-1511 | 2007-05-21 |
| 1962444174 | Springfield Clinic, LLP | Radiology | 1025 S 6th St, Springfield, IL 62703-2403 | 2006-06-12 |
| 1396782363 | Springfield Clinic, LLP | Clinical Medical Laboratory | 1025 S 6th St, Springfield, IL 62703-2403 | 2006-05-31 |
| 1780638478 | Springfield Clinic, LLP | Clinic/Center | 1025 S 6th St, Springfield, IL 62703-2403 | 2006-05-19 |
| Street Address |
900 N 1ST ST RM 4066 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1326572215 | Kyrielynn LLC | Pharmacy | 4923 Security Dr, Springfield, OH 45503-5651 | 2017-04-18 |
| 1386016327 | Wal-mart Stores East Lp | Pharmacy | 444 W Grand St, Springfield, MO 65807-1406 | 2015-10-29 |
| 1386036713 | Quality Zone Pharmacy Corp | Pharmacy | 355 Belmont Ave, Springfield, MA 01108-2000 | 2015-02-23 |
| 1558606327 | Niemann Foods Inc | Pharmacy | 210 E Carpenter St, Springfield, IL 62702-5128 | 2012-12-05 |
| 1982957403 | Independence Holding Co LLC | Pharmacy | 201 N 5th St, Springfield, IL 62701-1001 | 2012-10-22 |
| 1235426057 | Holistic Pharmacy Services Inc | Pharmacy | 133 E North Grand Ave, Springfield, IL 62702-3859 | 2011-06-30 |
| 1295044840 | Smith & Peck Pharmacy Management Services Inc | Pharmacy | 242 River St, Springfield, VT 05156-2306 | 2010-09-30 |
| 1790006724 | Hometown Pharmacy LLC | Pharmacy | 27118 Highway 42, Springfield, LA 70462-7979 | 2010-06-14 |
| 1861638314 | Jmc Pharmacies, LLC. | Pharmacy | 2103 E Rockhurst St Ste 108, Springfield, MO 65802-6501 | 2009-01-05 |
| 1649331042 | Cr Springfield, LLC | Pharmacy | 1050 Upper Valley Pike, Springfield, OH 45504-4016 | 2006-12-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on SPRINGFIELD CLINIC, LLP.
| 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.