Individual provider Active NPI

Stephanie Camarato, RPH

  • Pharmacist
  • Herrin, IL
National Provider Identifier
1588318901
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-039997 Issued in IL
Practice address
303 Rushing Dr
Herrin, IL 62948-3749
Phone
(618) 993-5555
Fax
(618) 993-6800
NPI assigned
Feb 4, 2022
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-039997 IL Primary

Addresses

Primary practice location

303 Rushing Dr
Herrin, IL 62948-3749

Mailing address

8216 Grassy Rd
Carbondale, IL 62902-0492
Phone (618) 925-1331

Other practice location 1

901 S Broadway
Goreville, IL 62939-2477
Phone (618) 995-1555

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051-039997ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Camarato Drug Inc Current Accepting new patients
Camarato Drug Inc CurrentSince Feb 6, 2022 Accepting new patients

Locations

901 S Broadway
Goreville, IL 62939
Phone (618) 995-1555

303 Rushing Dr
Herrin, IL 62948
Phone (618) 993-5555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1588318901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 GRASSY RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629020492",
            "telephone_number": "618-925-1331",
            "fax_number": "618-993-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 RUSHING DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483749",
            "telephone_number": "618-993-5555",
            "fax_number": "618-993-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Goreville",
            "state": "IL",
            "postal_code": "629392477",
            "country_code": "US",
            "telephone_number": "618-995-1555",
            "fax_number": "618-995-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARATO",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-039997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.