Princeton Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54014933 Issued in IL

Legal business name

PRINCETON PHARMACY, INC

Practice address

610 N Main Street
Princeton, IL 61356-2006

Phone

(815) 875-1237

Fax

(815) 872-1747

NPI assigned

May 10, 2007

Last updated

Aug 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Stefani

Title

President

Phone

(815) 875-1237

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Phillips, RPH

  • Pharmacist
  • Princeton, IL
  • NPI 1780016626
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1396959938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN STREET",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562006",
            "telephone_number": "815-875-1237",
            "fax_number": "815-872-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN STREET",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562006",
            "telephone_number": "815-875-1237",
            "fax_number": "815-872-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "STEFANI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-875-1237"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "54014933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1430090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princeton Dental Care, LTD.
• Princeton Elem School Dist 115
• Princeton Emergency Services, LLC
• Princeton Family Dentistry, LTD
• Princeton Family Physicians, S.C.
• Princeton Physical Therapy, PC
• Princeton Prompt Care LLC
• Princeton TWP High SCH Dis 500
• Timothy J Puhr, DDS
• Antonio Maria Ramirez, M.D.

• Community/Retail Pharmacy in Princeton, IL
• Providers in Princeton, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.