Victoria Reannon Juneau

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

049.182672 Issued in IL

Practice address

1157 N Eola Rd
Aurora, IL 60502-7006

Phone

(630) 851-4657

Fax

(630) 851-5567

NPI assigned

Jan 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Victoria Reannon Ellis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Diamond, IL
  • NPI 1013786706
  NPD (past)
• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Aurora, IL
  • NPI 1447206123
  NPD (past)

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1336487362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 N EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027006",
            "telephone_number": "630-851-4657",
            "fax_number": "630-851-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 N EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027006",
            "telephone_number": "630-851-4657",
            "fax_number": "630-851-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "VICTORIA",
        "middle_name": "REANNON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "IL",
            "license": "049.182672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "ELLIS",
            "middle_name": "REANNON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emmanual Juarez, ATC, CEIS
• Tonya Marie Juarez, LATC
• Judah Robinson Foundation NFP
• Juei Lee DMD PLLC
• Kabir Julka, M.D.
• Andrew D Jung, MD
• Dawn Loraine Jungels
• Jessica Carol Jurak, DO
• Angela Jurek
• Hannah Jurkevicius, LCSW

• Pharmacy Technician in Aurora, IL
• Providers in Aurora, IL by specialty
• Pharmacy Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.