Active NPI
Kimberly Jill Yager, RPH
- Pharmacist
- Effingham, IL
National Provider Identifier
1629351663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.289520
- Practice address
- 2006 Magnolia St
Effingham, IL 62401-4914 - Phone
- (618) 553-0631
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- 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 | 051.289520 | IL | Primary |
Addresses
Primary practice location
2006 Magnolia St
Effingham, IL 62401-4914
Mailing address
914 W Main St
Olney, IL 62450-1131
Phone (618) 395-4511
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 |
|---|---|---|---|
| 051.289520 | 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 and National Provider Directory roles.
-
- Pharmacy
- Olney, IL
- NPI 1548363310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1629351663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 W MAIN ST",
"city": "OLNEY",
"state": "IL",
"postal_code": "624501131",
"telephone_number": "618-395-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 MAGNOLIA ST",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624014914",
"telephone_number": "618-553-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGER",
"first_name": "KIMBERLY",
"middle_name": "JILL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2021-02-03",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.289520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.