Active NPI
Terry Lamont Jones, RPH
- Pharmacist
- Decatur, IL
National Provider Identifier
1619293859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-037923
- Practice address
- 1155 E Pershing Rd
Decatur, IL 62526-4726 - Phone
- (217) 877-2374
- NPI assigned
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 051-037923 | IL | Primary |
Addresses
Primary practice location
1155 E Pershing Rd
Decatur, IL 62526-4726
Mailing address
1155 E Pershing Rd
Decatur, IL 62526-4726
Phone (217) 877-2374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611448897293 | Medicaid | IL |
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 |
|---|---|---|---|
| 051-037923 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1619293859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 E PERSHING RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264726",
"telephone_number": "217-877-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 E PERSHING RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264726",
"telephone_number": "217-877-2374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TERRY",
"middle_name": "LAMONT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-13",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-037923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "611448897293",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.