JSP Pharmacy LLC

Organization Active NPI Community/Retail Pharmacy · Brighton, IL

NPI 1073620985 · NPPES record last updated Mar 21, 2016

Key facts

NPI
1073620985
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
054015925 (IL)
Legal business name
JSP PHARMACY LLC
Practice address
908 N Main St
Brighton, IL 62012-1050
Phone
(618) 372-3313
Fax
(618) 372-8332
NPI assigned
Aug 24, 2006
Organization subpart
No

Authorized official

Name
Judith Peipert, RPH
Title
Owner Manager
Phone
(618) 372-3313

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

108 Ransom St
Brighton, IL 62012
Phone (618) 372-3313

908 N Main St
Brighton, IL 62012
Phone (618) 372-3313

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054015925 IL Yes

Addresses

Primary practice location

908 N Main St
Brighton, IL 62012-1050

Mailing address

PO Box 788
Brighton, IL 62012-0788

Other identifiers

IdentifierTypeStateIssuer
2022810OtherPK

Other names

  • BRIGHTON PHARMACY Doing business as

Other providers in Brighton, IL

All providers in Brighton, IL · Community/Retail Pharmacy in Illinois

Sources for this page

Verify at the official NPI Registry.