Individual provider Active NPI

Emily Ann Svezia, PHARMD

  • Pharmacist
  • Scott AFB, IL
National Provider Identifier
1063795177
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-294716 Issued in IL
Practice address
375TH Medical Group
310 West Losey Street
Scott AFB, IL 62225
Phone
(618) 256-7345
Fax
(618) 256-4603
NPI assigned
Sep 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2010028730 MO
Pharmacist 183500000X 051-294716 IL Primary

Addresses

Primary practice location

375TH Medical Group
310 West Losey Street
Scott AFB, IL 62225

Mailing address

375TH Medical Group
310 West Losey Street
Scott AFB, IL 62225
Phone (618) 256-7345

Other names 1

  • Emily Ann Whitehead Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051-294716ILMDPharmacist
2010028730MOMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1063795177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375TH MEDICAL GROUP",
            "address_2": "310 WEST LOSEY STREET",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "62225",
            "telephone_number": "618-256-7345",
            "fax_number": "618-256-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375TH MEDICAL GROUP",
            "address_2": "310 WEST LOSEY STREET",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "62225",
            "telephone_number": "618-256-7345",
            "fax_number": "618-256-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVEZIA",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-25",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2010028730",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-294716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WHITEHEAD",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scott AFB, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.