Active NPI
Joachim Poeplau, RPH
- Pharmacist
- Harrisburg, IL
National Provider Identifier
1609586049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-029232
- Practice address
- 1 S Commercial St
Harrisburg, IL 62946-1719 - Phone
- (618) 253-8182
- Fax
- (618) 253-6101
- NPI assigned
- Nov 28, 2022
- Last updated
- Nov 28, 2022
- Sex
- Male
- 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 | 051-029232 | IL | Primary |
Addresses
Primary practice location
1 S Commercial St
Harrisburg, IL 62946-1719
Mailing address
1911 Porter Ave
Lawrenceville, IL 62439-2148
Phone (618) 943-6386
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051-029232 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1609586049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 PORTER AVE",
"city": "LAWRENCEVILLE",
"state": "IL",
"postal_code": "624392148",
"telephone_number": "618-943-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S COMMERCIAL ST",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629461719",
"telephone_number": "618-253-8182",
"fax_number": "618-253-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POEPLAU",
"first_name": "JOACHIM",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-029232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.