Bethany Irene Wille

Primary specialty

PharmacistTaxonomy code 183500000X

License

051286905 Issued in IL

Practice address

3001 S Veterans Pkwy
Springfield, IL 62704-6405

Phone

(217) 793-4091

NPI assigned

Dec 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Niemann Foods Inc

  • Community/Retail Pharmacy
  • Palmyra, MO
  • NPI 1164728762
  NPD (past)

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1578079711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 CHATAUQUA TRL",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620493441",
            "telephone_number": "217-652-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S VETERANS PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046405",
            "telephone_number": "217-793-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLE",
        "first_name": "BETHANY",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051286905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A Wilkison, O.D.
• Diana S. Willadsen, M.D.
• James Willams-Woodland
• Zaria Willams
• Robert Merle Willard, D.D.S.
• Julianna M. Willeford, RN
• Travis N Willeford, PHARMD
• Susan Willer
• William N Coughlin MD SC
• William Schlosser DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.