Individual provider Active NPI

Deborah Lynn Zielinski, PHARMD

  • Pharmacist
  • Monticello, IN
National Provider Identifier
1619253564
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051039385 Issued in IL
Practice address
812 W Broadway St
Monticello, IN 47960-2011
Phone
(574) 583-3706
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051039385 IL Primary

Addresses

Primary practice location

812 W Broadway St
Monticello, IN 47960-2011

Mailing address

812 W Broadway St
Monticello, IN 47960-2011
Phone (574) 583-3706

Other practice location 1

7878 S. Harlem
Bridgeview, IL 60448
Phone (708) 496-7806

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051039385ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince May 25, 2021 Accepting new patients
Walgreen Co PastSince May 25, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1619253564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602011",
            "telephone_number": "574-583-3706",
            "fax_number": "708-496-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602011",
            "telephone_number": "574-583-3706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7878 S. Harlem",
            "address_purpose": "LOCATION",
            "city": "Bridgeview",
            "state": "IL",
            "postal_code": "60448",
            "country_code": "US",
            "telephone_number": "708-496-7806",
            "fax_number": "708-496-9350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051039385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.