Anna Hufendick, PHARMD
Individual provider Active NPI Pharmacist · Belleville, IL
NPI 1275880643 · NPPES record last updated Aug 5, 2012
Key facts
- NPI
- 1275880643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.295718 (IL)
- Practice address
- 6500 W Main St
Belleville, IL 62223-3700 - Phone
- (618) 398-2100
- NPI assigned
- Aug 5, 2012
- Sex
- Female
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.295718 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.295718 | IL | Yes |
Addresses
Primary practice location
6500 W Main St
Belleville, IL 62223-3700
Mailing address
7637 Stonebridge Golf Dr
Maryville, IL 62062-6465
Phone (217) 440-9751
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.