Active NPI
Gayle Reid, PHARMACIST
- Pharmacist
- Aledo, IL
National Provider Identifier
1003537168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.037111
- Practice address
- 105 S College Ave
Aledo, IL 61231-1630 - Phone
- (309) 582-9390
- Fax
- (309) 582-9399
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.037111 | IL | Primary |
Addresses
Primary practice location
105 S College Ave
Aledo, IL 61231-1630
Mailing address
1427 200TH St
Aledo, IL 61231-8768
Phone (309) 299-4298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.037111 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1003537168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 200TH ST",
"city": "ALEDO",
"state": "IL",
"postal_code": "612318768",
"telephone_number": "309-299-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S COLLEGE AVE",
"city": "ALEDO",
"state": "IL",
"postal_code": "612311630",
"telephone_number": "309-582-9390",
"fax_number": "309-582-9399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "GAYLE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.037111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aledo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.