Active NPI
Hannah Stock
- Pharmacist
- Benton, IL
National Provider Identifier
1306447917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051299106
- Practice address
- 919 Giacone Dr
Benton, IL 62812-1639 - Phone
- (618) 435-2119
- NPI assigned
- Nov 2, 2020
- Last updated
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 051299106 | IL | Primary |
Addresses
Primary practice location
919 Giacone Dr
Benton, IL 62812-1639
Mailing address
1813 Wolff Dr
Marion, IL 62959-1427
Phone (618) 944-0536
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 |
|---|---|---|---|
| 051299106 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1306447917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 WOLFF DR",
"city": "MARION",
"state": "IL",
"postal_code": "629591427",
"telephone_number": "618-944-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 GIACONE DR",
"city": "BENTON",
"state": "IL",
"postal_code": "628121639",
"telephone_number": "618-435-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "HANNAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051299106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, IL
- Southern Illinois Therapy Services, PLLC
- Spencer Family Eye Care, LLC
- David Keith Spencer, O.D.
- Michael Sebastian Spencer, O.D.
- Chelsea Steele
- Stonebridge Nursing & Rehabilitation Center, LLC
- Stonebridge Senior Living Center, LLC
- Mariah Stubblefield, MSOTR/L
- David Frank Szoke, M.D.
- Olufeyisayo Jokotola Taiwo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.