James Allan Shupenus, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

51-26247 Issued in IL

Practice address

29 S Main St
Winchester, IL 62694-1249

Phone

(217) 742-3149

Fax

(217) 742-5219

NPI assigned

Mar 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Baker's Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Winchester, IL
  • NPI 1023199304
  NPD (past) Authorized official
• Bakers Pharmacy

  • Community/Retail Pharmacy
  • Winchester, IL
  • NPI 1477603835
  NPD (past) Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104957000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W CHERRY ST",
            "city": "WINCHESTER",
            "state": "IL",
            "postal_code": "626941032",
            "telephone_number": "217-742-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S MAIN ST",
            "city": "WINCHESTER",
            "state": "IL",
            "postal_code": "626941249",
            "telephone_number": "217-742-3149",
            "fax_number": "217-742-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPENUS",
        "first_name": "JAMES",
        "middle_name": "ALLAN",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51-26247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danita J Ray, PA-C
• Ronald L Johnson (Winchester Family Practice)
• Scott County Chiropractic
• Scott County Chiropractic, LTD.
• Scott County Nursing Center
• Tots in Motion Occupational Therapy PLLC
• Tom Bart Welch, D.D.S.
• Winchester EMS

• Pharmacist in Winchester, IL
• Providers in Winchester, IL by specialty
• Pharmacist in Illinois

• 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.

Verify at the official NPI Registry.