JSP Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054015925 Issued in IL

Legal business name

JSP PHARMACY LLC

Doing business as

Brighton Pharmacy

Practice address

908 N Main St
Brighton, IL 62012-1050

Phone

(618) 372-3313

Fax

(618) 372-8332

NPI assigned

Aug 24, 2006

Last updated

Mar 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith Peipert, RPHNPI 1104932052

Title

Owner Manager

Phone

(618) 372-3313

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BRIGHTON PHARMACY Doing business as

Locations

Practitioners 2

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.

• Judith K Peipert, R.PH.

  • Pharmacist
  • Brighton, IL
  • NPI 1104932052
  NPD Authorized official
• Stephen E Peipert, RPH

  • Pharmacist
  • Brighton, IL
  • NPI 1679160857
  NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1073620985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "BRIGHTON",
            "state": "IL",
            "postal_code": "620120788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N MAIN ST",
            "city": "BRIGHTON",
            "state": "IL",
            "postal_code": "620121050",
            "telephone_number": "618-372-3313",
            "fax_number": "618-372-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "PEIPERT",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "618-372-3313",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054015925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William M Dondanville, D.M.D.
• Jada L Elik, DMD
• Janice M. Gremaud, MS CCC-SLP
• Karen L Heineman, COTA
• Lewis F Jones III, O.D.
• Debbie L Kelly, PMHNP-BC
• Tammy Lynn Oertel, MS,CCC-SLP
• Pec Brighton PLLC (Performance Eyecare)
• Judith K Peipert, R.PH.
• Stephen E Peipert, RPH

• Community/Retail Pharmacy in Brighton, IL
• Providers in Brighton, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.