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SPRINGFIELD CLINIC LLP NPI 1316483266


NPI Information

NPI: 1316483266
Provider Name: SPRINGFIELD CLINIC, LLP

Doing Business As: SPRINGFIELD CLINIC, LLP

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 14D2233519

Address:
900 N 1ST ST RM 4066
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 391-6940
Get Directions

SPRINGFIELD CLINIC, LLP is a pharmacy in Springfield, IL. The provider is 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. SPRINGFIELD CLINIC, LLP NPI is 1316483266. The provider is registered as an organization entity type.
The provider Is Doing Business As Springfield Clinic, Llp.

The provider's business location address is:

900 N 1ST ST RM 4066
SPRINGFIELD, IL
ZIP 62702-749
Phone: (217) 391-6940

The provider's authorized official is William Brewer .
The authorized official title is Director Of Pharmacy and has the following contact phone number (217) 391-6940.

The CLIA number assigned to this NPI record is 14D2233519 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2017 and was last updated on 1/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy054.020218ILLINOISYes
23336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12167219OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.