Stacey Lane Calvert, RPH
Individual provider Active NPI Pharmacist · Paris, IL
NPI 1467054056 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1467054056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051288397 (IL)
- Practice address
- 15150 US Highway 150
Paris, IL 61944-6615 - Phone
- (217) 466-5818
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051288397 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051288397 | IL | Yes |
Addresses
Primary practice location
15150 US Highway 150
Paris, IL 61944-6615
Mailing address
15150 US Highway 150
Paris, IL 61944-6615
Phone (217) 466-5818
Other providers in Paris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 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.