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Southern Illinois University Student

Institutional Pharmacy in Carbondale, IL · enumerated 2006 · authorized official Susan Chaney, Pharmacy Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124064035

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois University Student
Other name <Unavail>
Practice address 374 E Grand Ave, Carbondale, IL, 62901
Fax (618) 453-4672
Enumeration date Jun 20, 2006
Last updated in NPPES Apr 11, 2016

Taxonomy & classification

3336I0012X Institutional Pharmacy Suppliers · License 054.017089 (IL) Primary

Authorized official

Name Susan Chaney
Title Pharmacy Director

Other identifiers

Identifier Type State Issuer
2016773 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-04-11. Verify at npiregistry.cms.hhs.gov.
Where is Southern Illinois University Student located?
The practice location on file with NPPES is in Carbondale, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-11.