Individual provider Active NPI

Monica I Leriger, PHARM.D.

  • Pharmacist
  • Kankakee, IL
National Provider Identifier
1245510866
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-288505 Issued in IL
Practice address
222 W Court St
Kankakee, IL 60901-3711
Phone
(815) 936-0817
NPI assigned
Aug 26, 2011
Last updated
Aug 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-288505 IL Primary

Addresses

Primary practice location

222 W Court St
Kankakee, IL 60901-3711

Mailing address

772 Oak Run Dr
Bourbonnais, IL 60914-1764
Phone (815) 936-8797

Other identifiers 1

IdentifierTypeStateIssuer
05-1288505OtherILILLINOIS STATE PHARMACIST LICENSE

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051-288505ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1245510866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 OAK RUN DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141764",
            "telephone_number": "815-936-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013711",
            "telephone_number": "815-936-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERIGER",
        "first_name": "MONICA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-288505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE PHARMACIST LICENSE",
            "identifier": "05-1288505",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.