IndividualActive
Jack Atwood, RPH
NPI 1740628759 · Pharmacist · Carbondale, IL
Jack Atwood, RPH is a Pharmacist provider in Carbondale, IL (NPI 1740628759).
Provider details
- NPI number
- 1740628759
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 051-022602 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
206 S Wall St
Carbondale, IL 62901-3023
Phone: (618) 457-4104
Street-level locationGet directions
Mailing address
206 S Wall St
Carbondale, IL 62901-3023
Registry dates
- Enumerated
- 2013-06-12
- Last updated
- 2026-05-31
Frequently asked questions
- What is Jack Atwood's NPI number?
- Jack Atwood's National Provider Identifier (NPI) is 1740628759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Atwood's specialty?
- Jack Atwood is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jack Atwood located?
- Jack Atwood's practice location on file with NPPES is 206 S Wall St, Carbondale, IL 62901-3023.
- What is Jack Atwood's phone number?
- The practice phone number listed in the NPPES registry for Jack Atwood is (618) 457-4104.
- Is Jack Atwood's NPI active?
- Yes — Jack Atwood's NPI (1740628759) is active in the NPPES registry as of the last update on 2026-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.