Individual provider Active NPI

Julie Pleskovitch, RPH

  • Pharmacist
  • Peru, IL
National Provider Identifier
1306594676
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051039043 Issued in IL
Practice address
1651 Midtown Rd
Peru, IL 61354-1267
Phone
(815) 223-4276
Fax
(815) 223-4957
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051039043 IL Primary

Addresses

Primary practice location

1651 Midtown Rd
Peru, IL 61354-1267

Mailing address

1651 Midtown Rd
Peru, IL 61354-1267
Phone (815) 223-4276

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051039043ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1306594676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 MIDTOWN RD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541267",
            "telephone_number": "815-223-4276",
            "fax_number": "815-223-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 MIDTOWN RD",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541267",
            "telephone_number": "815-223-4276",
            "fax_number": "815-223-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLESKOVITCH",
        "first_name": "JULIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051039043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.