Active NPI
Baker's Pharmacy
- Durable Medical Equipment & Medical Supplies
- Winchester, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BAKER'S PHARMACY
- Practice address
- 29 S Main St
Winchester, IL 62694-1249 - Phone
- (217) 742-3149
- Fax
- (217) 742-5219
- NPI assigned
- Oct 17, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Allan Shupenus, R.PH.
- Title
- Owner
- Phone
- (217) 742-3149
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | IL | Primary |
Addresses
Primary practice location
29 S Main St
Winchester, IL 62694-1249
Mailing address
29 S Main St
Winchester, IL 62694-1249
Phone (217) 742-3149
National Provider Directory
National Provider Directory- Tax ID family
- Baker's Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Winchester, IL
- NPI 1477603835
Locations
29 S Main St
Winchester, IL 62694
Phone (217) 742-3149
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Winchester, IL
- NPI 1104957000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023199304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 S MAIN ST",
"city": "WINCHESTER",
"state": "IL",
"postal_code": "626941249",
"telephone_number": "217-742-3149",
"fax_number": "217-742-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 S MAIN ST",
"city": "WINCHESTER",
"state": "IL",
"postal_code": "626941249",
"telephone_number": "217-742-3149",
"fax_number": "217-742-5219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKER'S PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHUPENUS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ALLAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-742-3149",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.