Donna R Merideth, R.PH.
Individual provider Active NPI Pharmacist · Alpha, IL
NPI 1023604758 · NPPES record last updated Dec 16, 2020
Key facts
- NPI
- 1023604758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051039108 (IL)
- Practice address
- 211 S 1St St
Alpha, IL 61413-5152 - Phone
- (309) 629-4506
- Fax
- (309) 629-2611
- NPI assigned
- Dec 16, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051039108 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051039108 | IL | Yes |
Addresses
Primary practice location
211 S 1St St
Alpha, IL 61413-5152
Mailing address
PO Box 355
Alpha, IL 61413-0355
Phone (309) 629-4506
Other practice location 1
855 Illini Dr Ste 200
Silvis, IL 61282-2908
Phone (309) 792-7002
Other providers in Alpha, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.