Organization Active NPI

Jennings Pharmacy Inc

  • Community/Retail Pharmacy
  • Olney, IL
National Provider Identifier
1093876013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JENNINGS PHARMACY INC
Practice address
1029 E Main St
Olney, IL 62450-2625
Phone
(618) 395-2144
Fax
(618) 392-5075
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dennis Lee Jennings, R.PH.
Title
President
Phone
(618) 395-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X IL Primary

Addresses

Primary practice location

1029 E Main St
Olney, IL 62450-2625

Mailing address

1029 E Main St
Olney, IL 62450-2625
Phone (618) 395-2144

National Provider Directory

National Provider Directory
Tax ID family
Jennings Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093876013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 E MAIN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502625",
            "telephone_number": "618-395-2144",
            "fax_number": "618-392-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E MAIN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502625",
            "telephone_number": "618-395-2144",
            "fax_number": "618-392-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-395-2144",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, 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.

Verify at the official NPI Registry.