Active NPI
Jory Angel Angileri, PHARMD
- Community/Retail Pharmacy
- Machesney Park, IL
National Provider Identifier
1396340303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 051.301707
- Practice address
- 8001 N 2ND St
Machesney Park, IL 61115-2405 - Phone
- (815) 636-2949
- Fax
- (815) 636-3940
- NPI assigned
- Nov 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 051.301707 | IL | Primary |
Addresses
Primary practice location
8001 N 2ND St
Machesney Park, IL 61115-2405
Mailing address
8001 N 2ND St
Machesney Park, IL 61115-2405
Phone (815) 636-2949
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.301707 | IL | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1396340303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 N 2ND ST",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611152405",
"telephone_number": "815-636-2949",
"fax_number": "815-636-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 N 2ND ST",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611152405",
"telephone_number": "815-636-2949",
"fax_number": "815-636-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGILERI",
"first_name": "JORY",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "051.301707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Machesney Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.