Sandra Brinegar, RPH
Individual provider Active NPI Pharmacist · Sandwich, IL
NPI 1326310418 · NPPES record last updated Feb 3, 2012
Key facts
- NPI
- 1326310418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051-041020 (IL)
- Practice address
- 30 W Church St
Sandwich, IL 60548-2106 - Phone
- (815) 786-8653
- NPI assigned
- Feb 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-041020 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-041020 | IL | Yes |
Addresses
Primary practice location
30 W Church St
Sandwich, IL 60548-2106
Mailing address
30 W Church St
Sandwich, IL 60548-2106
Phone (815) 786-8653
Other providers in Sandwich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 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.