Active NPI
Jennifer Cain
- Pharmacist
- Freeburg, IL
National Provider Identifier
1629658273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.295953
- Practice address
- 10 Southgate Ctr
Freeburg, IL 62243-1541 - Phone
- (618) 539-5577
- Fax
- (618) 539-3089
- NPI assigned
- Apr 8, 2021
- Sex
- Female
- 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 | 051.295953 | IL | Primary |
Addresses
Primary practice location
10 Southgate Ctr
Freeburg, IL 62243-1541
Mailing address
102 Whitehall CT
Belleville, IL 62223-2718
Phone (618) 977-0421
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.295953 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1629658273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WHITEHALL CT",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622232718",
"telephone_number": "618-977-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SOUTHGATE CTR",
"city": "FREEBURG",
"state": "IL",
"postal_code": "622431541",
"telephone_number": "618-539-5577",
"fax_number": "618-539-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.295953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.