Active NPI
Alyssa Nadine Caliolio
- Pharmacist
- Morton, IL
National Provider Identifier
1376133371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051302992
- Practice address
- 1005 W Jackson St
Morton, IL 61550-1545 - Phone
- (309) 266-5396
- Fax
- (309) 263-8103
- NPI assigned
- Jan 22, 2021
- Last updated
- Jan 22, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051302992 | IL | Primary |
Addresses
Primary practice location
1005 W Jackson St
Morton, IL 61550-1545
Mailing address
1005 W Jackson St
Morton, IL 61550-1545
Phone (309) 266-5396
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051302992 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1376133371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W JACKSON ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615501545",
"telephone_number": "309-266-5396",
"fax_number": "309-263-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W JACKSON ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615501545",
"telephone_number": "309-266-5396",
"fax_number": "309-263-8103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALIOLIO",
"first_name": "ALYSSA NADINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051302992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morton, IL
- Stephanie Brown, MA, LCPC
- Jerry Christopher Bucholc, PHARM.D., BCGP
- Karen Budzinski, PTA
- Bulldog Alliance Two (Hometown Pharmacy)
- Andrew Burton, DDS
- Renae Callahan
- Care Solutions of Illinois Inc (Dynamic Physical Therapy)
- Care Solutions of Illinois Inc (Care Solutions)
- Charles J Carlin, D.C
- Patrick Carr, RPH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.