Chelsey Marie Hogan, PHARMD
Individual provider Active NPI Pharmacist · Milan, IL
NPI 1326396409 · NPPES record last updated Aug 21, 2012
Key facts
- NPI
- 1326396409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21771 (IA)
- Practice address
- 440 10TH Ave W
Milan, IL 61264-2345 - Phone
- (309) 787-2161
- NPI assigned
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 21771 | IA | MD | Pharmacist |
| 051296056 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051296056 | IL | |
| Pharmacist | 183500000X | 21771 | IA | Yes |
Addresses
Primary practice location
440 10TH Ave W
Milan, IL 61264-2345
Mailing address
440 10TH Ave W
Milan, IL 61264-2345
Phone (309) 787-2161
Other providers in Milan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 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.