Active NPI
Delores Diane Friedrich, RPH
- Pharmacist
- Chatham, IL
National Provider Identifier
1013028885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051041194
- Practice address
- 1053 Jason PL
Chatham, IL 62629-2018 - Phone
- (217) 483-7431
- Fax
- (217) 483-7491
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 051041194 | IL | Primary |
Addresses
Primary practice location
1053 Jason PL
Chatham, IL 62629-2018
Mailing address
4104 Fielding Dr
Springfield, IL 62711-4004
Phone (217) 483-7431
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051041194 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013028885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4104 FIELDING DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627114004",
"telephone_number": "217-483-7431",
"fax_number": "217-483-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 JASON PL",
"city": "CHATHAM",
"state": "IL",
"postal_code": "626292018",
"telephone_number": "217-483-7431",
"fax_number": "217-483-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDRICH",
"first_name": "DELORES",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051041194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatham, IL
- Stephen Randall Dwyer
- Dynamic Behavioral Services, Inc.
- Eat to Grow, Inc.
- Family Medical Center of Chatham, LLC
- Caitlin A Flowers
- Tory Grafelman, MS, CCC-SLP
- Katherine Jean Graue, R.PH.
- Michelle Renee Gwinn-Mackey, RPH, PHARMD
- Hac 2 Inc (Health One of Central Illinois)
- Hac 2, Inc (Uvanta Pharmacy of Central Illinois)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.