Justine Bogue, PHARMD
Individual provider Active NPI Pharmacist · Paris, IL
NPI 1295488674 · NPPES record last updated Jan 27, 2022
Key facts
- NPI
- 1295488674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.295424 (IL)
- Practice address
- 719 E Court St
Paris, IL 61944-2478 - Phone
- (217) 465-4114
- Fax
- (217) 463-5801
- NPI assigned
- Jan 27, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 051.295424 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paris Clinic Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.295424 | IL | Yes |
Addresses
Primary practice location
719 E Court St
Paris, IL 61944-2478
Mailing address
719 E Court St
Paris, IL 61944-2478
Phone (217) 465-4114
Other providers in Paris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2022. 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.