Active NPI
Julia Ann Larue, RPH
- Pharmacist
- Belleville, IL
National Provider Identifier
1013494103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.291503
- Practice address
- 110 Carlyle Plaza Dr
Belleville, IL 62221-6678 - Phone
- (618) 234-8097
- Fax
- (618) 234-8199
- NPI assigned
- Jul 23, 2018
- Last updated
- Jul 23, 2018
- 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 | 051.291503 | IL | Primary |
Addresses
Primary practice location
110 Carlyle Plaza Dr
Belleville, IL 62221-6678
Mailing address
110 Carlyle Plaza Dr
Belleville, IL 62221-6678
Phone (618) 234-8097
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 |
|---|---|---|---|
| 051.291503 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schnuck Markets Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1013494103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CARLYLE PLAZA DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622216678",
"telephone_number": "618-234-8097",
"fax_number": "618-234-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CARLYLE PLAZA DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622216678",
"telephone_number": "618-234-8097",
"fax_number": "618-234-8199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARUE",
"first_name": "JULIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.291503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.