Active NPI
Gina Berg Thompson, RPH
- Pharmacist
- Taylorville, IL
National Provider Identifier
1326396771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.035520
- Practice address
- 315 N Webster St
Taylorville, IL 62568-1555 - Phone
- (217) 824-8154
- Fax
- (217) 824-8165
- NPI assigned
- Aug 15, 2012
- Last updated
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.035520 | IL | Primary |
| Pharmacist | 183500000X | 26014691A | IN |
Addresses
Primary practice location
315 N Webster St
Taylorville, IL 62568-1555
Mailing address
315 N Webster St
Taylorville, IL 62568-1555
Phone (217) 824-8154
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.035520 | IL | MD | Pharmacist |
| 26014691A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1326396771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N WEBSTER ST",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "625681555",
"telephone_number": "217-824-8154",
"fax_number": "217-824-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N WEBSTER ST",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "625681555",
"telephone_number": "217-824-8154",
"fax_number": "217-824-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "GINA",
"middle_name": "BERG",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.035520",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26014691A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorville, IL
- Taylorville Skilled Nursing & Rehab LLC
- Taylorville Skilled Nursing & Rehab LLC
- Taylorville Skilled Nursing & Rehab LLC
- Taylorville Vision Center, LTD
- Peggy Tell, LCPC
- Kelsie A. Tobias, LCSW
- Billie J Toland, FNP-BC
- Toofan Medical Holdings, LTD (Taylorville Urgent Care)
- Toofan Medical Holdings, LTD.
- Kimberly Virginia Turner, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.