Active NPI
Rachel Elizabeth Cullen
- Pharmacist
- Jacksonville, IL
National Provider Identifier
1477315430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051304278
- Practice address
- 103 Oak Hollow Dr
Jacksonville, IL 62650-6477 - Phone
- (217) 883-2301
- NPI assigned
- Jan 25, 2024
- Last updated
- Jan 25, 2024
- 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 | 051304278 | IL | Primary |
Addresses
Primary practice location
103 Oak Hollow Dr
Jacksonville, IL 62650-6477
Mailing address
103 Oak Hollow Dr
Jacksonville, IL 62650-6477
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 |
|---|---|---|---|
| 051304278 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1477315430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 OAK HOLLOW DR",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626506477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 OAK HOLLOW DR",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626506477",
"telephone_number": "217-883-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "RACHEL",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051304278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, IL
- County of Morgan Health Dept
- Covenant Care Jacksonville, LLC (Jacksonville Skilled Nursing and Rehabilitation Center)
- Covenant Care of Jacksonville LLC (Modern Care Convalescent and Nursing Home)
- Cpo Services, Inc (Comprehensive Prosthetics & Orthotics)
- Cara Marie Crain, FNP-C
- Abby L Cunningham, FNP
- Faraz Ahmad Khan Daha, MD
- Schuyler Marie Darnell, RPH
- Kaitlyn Renee Davidson, NP-C
- Evan L Davis, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.