Active NPI
David Felts
- Pharmacist
- East Saint Louis, IL
National Provider Identifier
1225677818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051302494
- Practice address
- 1615 Camp Jackson Rd
East Saint Louis, IL 62206-2539 - Phone
- (618) 332-0676
- NPI assigned
- Dec 30, 2019
- Last updated
- Dec 30, 2019
- Sex
- Male
- 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 | 051302494 | IL | Primary |
Addresses
Primary practice location
1615 Camp Jackson Rd
East Saint Louis, IL 62206-2539
Mailing address
2161 Thurman Ave Apt K
Saint Louis, MO 63110-3643
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051302494 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1225677818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2161 THURMAN AVE APT K",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631103643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 CAMP JACKSON RD",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622062539",
"telephone_number": "618-332-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELTS",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-30",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051302494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Saint Louis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.