NPIMap

Organization Active NPI

Elizabeth Pharmacy, Inc

  • Community/Retail Pharmacy
  • Elizabeth, IL
National Provider Identifier
1639663446
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ELIZABETH PHARMACY, INC
Practice address
218 N Main St
Elizabeth, IL 61028-8803
Phone
(815) 858-3555
Fax
(815) 858-3557
NPI assigned
Jun 15, 2018
Last updated
Jun 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Authorized official

Name
Karrie SabinsonNPI 1760079222
Title
Owner/Pharmd
Phone
(815) 745-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

218 N Main St
Elizabeth, IL 61028-8803

Mailing address

PO Box 333
Elizabeth, IL 61028-0333
Phone (815) 858-3555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1639663446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "ELIZABETH",
            "state": "IL",
            "postal_code": "610280333",
            "telephone_number": "815-858-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N MAIN ST",
            "city": "ELIZABETH",
            "state": "IL",
            "postal_code": "610288803",
            "telephone_number": "815-858-3555",
            "fax_number": "815-858-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "SABINSON",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_title_or_position": "OWNER/PHARMD",
        "authorized_official_telephone_number": "815-745-3700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.