Active NPI
Erin L Stickelmaier
- Pharmacist
- Morton, IL
National Provider Identifier
1558929653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051296211
- Practice address
- 155 E Courtland St
Morton, IL 61550-8931 - Phone
- (309) 263-6728
- Fax
- (309) 263-6735
- NPI assigned
- Jun 3, 2019
- 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 | 051296211 | IL | Primary |
Addresses
Primary practice location
155 E Courtland St
Morton, IL 61550-8931
Mailing address
701 Thornridge Dr
Morton, IL 61550-8501
Phone (309) 339-9429
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 |
|---|---|---|---|
| 051296211 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1558929653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 THORNRIDGE DR",
"city": "MORTON",
"state": "IL",
"postal_code": "615508501",
"telephone_number": "309-339-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 E COURTLAND ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615508931",
"telephone_number": "309-263-6728",
"fax_number": "309-263-6735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKELMAIER",
"first_name": "ERIN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051296211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.