Charles M Grimes , RPH

Physician • Lawrenceville, IL

Deactivated NPI 1427658582 Deactivated in NPPES Male Practitioner

Practice location in NPPES

2610 W Haven Rd
Lawrenceville, IL 624393345

Phone: 6189435515

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of October 27, 2022; the reason is not published. The records below are historical. They do not show whether Charles Grimes currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 28, 2020

NPI Deactivation Date October 27, 2022

NPI Active Period 2020 – 2022

Practice Location & Contact Primary Location

Practice Address

2610 W Haven Rd

Lawrenceville, IL 624393345

Telephone 6189435515

Fax 6189435736

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Organization at the Same NPPES Address or Phone

Walmart Inc. Facility NPI 1942227228

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Lawrenceville and Illinois

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacy - Community/Retail Pharmacy Primary Specialty

NUCC Taxonomy Code: 3336C0003X

License # reported to NPPES IL 051035452

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated October 27, 2022

NPPES lists this NPI as deactivated as of October 27, 2022; the reason is not published.

✅

NPI Profile Active October 28, 2020

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 28, 2020

Registered at 2610 W HAVEN RD, LAWRENCEVILLE, IL 624393345 (Tel: 6189435515)

📍

Business Mailing Address (Initial Record) October 28, 2020

Registered at 606 21ST ST, LAWRENCEVILLE, IL 624391806 (Tel: 6189283447)

👤

Provider Name / Credentials (Initial Record) October 28, 2020

Recorded as CHARLES GRIMES, RPH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2020

Pharmacy (license number reported to NPPES: IL 051035452)

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Initial NPI Registration & Enumeration October 28, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427658582

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 28, 2020

Last Update: October 28, 2020

Deactivation Date: October 27, 2022

Update or Correct Profile

Mailing Address

606 21st St

Lawrenceville, IL 624391806

Phone: 6189283447

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.