Jeff Denney I
Individual provider Active NPI Pharmacist · Washington, IL
NPI 1336736669 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1336736669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051295711 (IL)
- Practice address
- 1101 Peoria St
Washington, IL 61571-2350 - Phone
- (309) 444-2301
- NPI assigned
- Dec 21, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051295711 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051295711 | IL | Yes |
Addresses
Primary practice location
1101 Peoria St
Washington, IL 61571-2350
Mailing address
1101 Peoria St
Washington, IL 61571-2350
Phone (309) 444-2301
Other providers in Washington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2020. 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.