Active NPI
Annabelle Louise Blanchette, PHARMD
- Pharmacist
- Alton, IL
National Provider Identifier
1508548843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2023031943
- Practice address
- 2811 Homer M Adams Pkwy
Alton, IL 62002-4856 - Phone
- (618) 465-5844
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2023031943 | MO | Primary |
Addresses
Primary practice location
2811 Homer M Adams Pkwy
Alton, IL 62002-4856
Mailing address
335 S Brown Ave
Edwardsville, IL 62025-2104
Phone (217) 246-4631
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 |
|---|---|---|---|
| 2023031943 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1508548843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 S BROWN AVE",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620252104",
"telephone_number": "217-246-4631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 HOMER M ADAMS PKWY",
"city": "ALTON",
"state": "IL",
"postal_code": "620024856",
"telephone_number": "618-465-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHETTE",
"first_name": "ANNABELLE",
"middle_name": "LOUISE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2023031943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.