James Paul Verton, RPH

Individual provider Active NPI Pharmacist · Gillespie, IL

NPI 1215044920 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215044920
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
Practice address
120 S Macoupin
Dippold Drug Co Inc
Gillespie, IL 62033
Phone
(217) 839-9901
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051031467ILMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X IL Yes

Addresses

Primary practice location

120 S Macoupin
Dippold Drug Co Inc
Gillespie, IL 62033

Mailing address

709 Western
Gillespie, IL 62033
Phone (217) 839-3445

Other providers in Gillespie, IL

All providers in Gillespie, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.