MR. THOMAS NORBERT CERNY (NPI# 1780133165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780133165 |
| Entity Type | Individual |
| Full Name | MR. THOMAS NORBERT CERNY |
| Credential | R.PH. |
| Practice Address |
374 E Grand Ave Carbondale IL 62901-3962 |
| Practice Telephone | 6184534417 |
| Practice Fax Number | 6184534672 |
| Mailing Telephone | 6184534417 |
| Mailing Fax Number | 6184534672 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
051036715 | IL | Pharmacy Service Providers |
| Street Address |
374 E GRAND AVE |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124064035 | Southern Illinois University Student | Pharmacy | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2006-06-20 |
| 1134748635 | Warren Thomas Bush | Psychologist | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2020-04-14 |
| 1639715543 | Paul Eric Winchester | Physical Therapy Assistant | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2019-11-26 |
| 1952947004 | Jennifer Winchester | Physical Therapy Assistant | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2019-11-25 |
| 1992210975 | Alec Eshelman | Psychologist | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2017-12-12 |
| 1871834200 | Kyle Michael Chamness | Physical Therapy Assistant | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2013-03-11 |
| 1780921312 | Christy L Hamilton | Counselor | 374 E Grand Ave, Mail Code 6740, Carbondale, IL 62901-3962 | 2013-01-16 |
| 1659617884 | Rosemary Elizabeth Simmons | Psychologist | 374 E Grand Ave, Counseling Center, Mail Code 4715, Siu, Carbondale, IL 62901-3962 | 2012-12-16 |
| 1639397128 | Russell Edward Klein | Dentist | 374 E Grand Ave, Student Health Center Sivc, Carbondale, IL 62901 | 2007-04-23 |
| 1629293709 | Kendall Marie Wachter | Dentist | 374 E Grand Ave, Student Health Center Siuc, Carbondale, IL 62901 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291690 | Kristina Ann Falk | Pharmacist | 5758 S Maryland Ave Ste 3c, Chicago, IL 60637-1426 | 2020-09-24 |
| 1639792476 | Katherine Mosio | Pharmacist | 722 W Maxwell St Ste 205, Chicago, IL 60607-5002 | 2020-05-27 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1437643319 | Ellie Luehring | Pharmacist | 1239 Declan Court, Naperville, IL 60563 | 2018-06-14 |
| 1477074599 | Elizabeth Van Dril | Pharmacist | 700 N Larrabee St Apt 310, Chicago, IL 60654-7015 | 2017-06-28 |
| 1720530751 | Charnell Hall | Pharmacist | 1900 W Polk St # 1200, Chicago, IL 60612-3723 | 2016-10-25 |
| 1649729427 | Carlos Varela | Pharmacist | 430 E 50th Place, Chicago, IL 60615 | 2016-09-22 |
| 1336695865 | Michael Short | Pharmacist | Memorial Medical Center Heart Failure Cinic, 340 West Miller, Springfield, IL 62781-0001 | 2016-08-25 |
| 1174969745 | Virginia Jones | Pharmacist | 106 19th Ave Ste 101, Moline, IL 61265-3700 | 2013-05-22 |
| 1720688856 | Donna Slas | Pharmacist | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.