Active NPI
Jon Livingston, RPH
- Pharmacist
- Taylorville, IL
National Provider Identifier
1013518356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051039255
- Practice address
- 1530 W Springfield Rd
Taylorville, IL 62568-2756 - Phone
- (217) 287-1121
- Fax
- (217) 287-1114
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- 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 | 051039255 | IL | Primary |
Addresses
Primary practice location
1530 W Springfield Rd
Taylorville, IL 62568-2756
Mailing address
2402 Eastwood Dr
Taylorville, IL 62568-8998
Phone (217) 820-5025
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 |
|---|---|---|---|
| 051039255 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1013518356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 EASTWOOD DR",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "625688998",
"telephone_number": "217-820-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 W SPRINGFIELD RD",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "625682756",
"telephone_number": "217-287-1121",
"fax_number": "217-287-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "JON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051039255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.