Active NPI
Judith K Peipert, R.PH.
- Pharmacist
- Brighton, IL
National Provider Identifier
1104932052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 108 Ransom St
Brighton, IL 62012 - Phone
- (618) 372-3313
- Fax
- (618) 372-8332
- NPI assigned
- Aug 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Primary |
Addresses
Primary practice location
108 Ransom St
Brighton, IL 62012
Mailing address
6927 Gushing Springs Rd
Edwardsville, IL 62025
Phone (618) 656-6789
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.028784 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JSP Pharmacy LLC | Current | Accepting new patients |
Locations
108 Ransom St
Brighton, IL 62012
Phone (618) 372-3313
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104932052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6927 GUSHING SPRINGS RD",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "62025",
"telephone_number": "618-656-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 RANSOM ST",
"city": "BRIGHTON",
"state": "IL",
"postal_code": "62012",
"telephone_number": "618-372-3313",
"fax_number": "618-372-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIPERT",
"first_name": "JUDITH",
"middle_name": "K",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, IL
- Lewis F Jones III, O.D.
- JSP Pharmacy LLC (Brighton Pharmacy)
- Debbie L Kelly, PMHNP-BC
- Tammy Lynn Oertel, MS,CCC-SLP
- Pec Brighton PLLC (Performance Eyecare)
- Stephen E Peipert, RPH
- Robings Hco, LLC
- Robings Hco, LLC (Robings Manor Rehabilitation & Health Care)
- Robings Rehabilitation Center LLC
- Andrea Nicole Rull
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.