John B Caldieraro Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5130917 Issued in IL

Practice address

101 E Main St
Staunton, IL 62088-1446

Phone

(618) 635-2595

Fax

(618) 635-5590

NPI assigned

Apr 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sullivan Drugs of Staunton

  dba Sullivan Drugs

  • Community/Retail Pharmacy
  • Staunton, IL
  • NPI 1902881097
  NPD (past)

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447373311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CALSTRADA DR",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620881673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620881446",
            "telephone_number": "618-635-2595",
            "fax_number": "618-635-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDIERARO",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "5130917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "5130917",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Bagaglio
• Joseph D Baum, D.C.
• Robert Joseph Brown, D.C.
• Josh Buschling, D.O.
• John Batista Caldieraro III, DMD
• Thomas Albert Cioni, D.M.D.
• Clarkson Optometry Illinois PC
• Michael A Coalson, L.P.T
• Community Hospital of Staunton (Community Hospital of Staunton Specialty Clinic)

• Pharmacist in Staunton, IL
• Providers in Staunton, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.