Bria Sims

Primary specialty

PharmacistTaxonomy code 183500000X

License

051295727 Issued in IL

Practice address

2700 Broadway St
Mount Vernon, IL 62864-2342

Phone

(618) 242-2074

NPI assigned

Nov 30, 2020

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.

• Highland Park CVS, L.L.C.

  • Pharmacy
  • Mount Vernon, IL
  • NPI 1467555235
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1598360448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16147 N SQUIRE LN",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647565",
            "telephone_number": "618-231-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642342",
            "telephone_number": "618-242-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "BRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051295727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Michel Shamsham, M.D.
• Amanda Barton Shelton, CNM
• Annette V Shores, M.D.
• Kellie Nicole Sigrist, MHP
• Leslie L Simonton-Smith, M.D.
• Naga Srinivas Sirikonda, M.D
• Olga Mary Skelly, N/A
• Skibo Family Eyecare LLC
• Emily Ellen Skibo, O.D.
• Skills 4 Life OT, LLC

• Pharmacist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.