Kelly Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054011335 Issued in IL

Legal business name

KELLY DRUGS

Practice address

105 E Jones St
Milford, IL 60953-1047

Phone

(815) 889-4326

Fax

(815) 889-4326

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Jeanne Laurette Van Hoveln, RPHNPI 1497681787

Title

RPH

Phone

(815) 889-4326

Specialties & licenses 1

Addresses

Tax ID family

Jeanne Laurette Vanhoveln2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeanne Laurette Vanhoveln

  • Community/Retail Pharmacy
  • Milford, IL
  • NPI 1881735975
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne Laurette Van Hoveln

  • Pharmacist
  • Milford, IL
  • NPI 1497681787
  NPD (past) Authorized official

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1285809707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "MILFORD",
            "state": "IL",
            "postal_code": "609530127",
            "telephone_number": "815-889-4326",
            "fax_number": "815-889-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E JONES ST",
            "city": "MILFORD",
            "state": "IL",
            "postal_code": "609531047",
            "telephone_number": "815-889-4326",
            "fax_number": "815-889-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "VAN HOVELN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "LAURETTE",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "815-889-4326",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054011335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoopeston Community Memorial Hospital
• Iroquois Memorial Hospital and Resident Home
• Iroquois Mental Health Center
• Iroquois Mental Health Center
• Jeanne Laurette Vanhoveln
• Connie C Langellier, APRN-FPA, FNP-C
• Jon Rugh Link, D.C.
• Sara McTaggart, M.S., CCC-SLP
• Heather M. Mikelson, D.T.
• Milford Area Public Schools District 124

• Community/Retail Pharmacy in Milford, IL
• Providers in Milford, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.