Active NPI
Crystal Renee Hoene
- Pharmacist
- Effingham, IL
National Provider Identifier
1639779119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051288002
- Practice address
- 1204 Ave of Mid America
Effingham, IL 62401-4715 - Phone
- (217) 347-5583
- Fax
- (217) 347-5585
- NPI assigned
- Oct 26, 2020
- 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 | 051288002 | IL | Primary |
Addresses
Primary practice location
1204 Ave of Mid America
Effingham, IL 62401-4715
Mailing address
8499 N 2000TH St
Dieterich, IL 62424-2317
Phone (217) 663-3687
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 |
|---|---|---|---|
| 051288002 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1639779119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8499 N 2000TH ST",
"city": "DIETERICH",
"state": "IL",
"postal_code": "624242317",
"telephone_number": "217-663-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 AVE OF MID AMERICA",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624014715",
"telephone_number": "217-347-5583",
"fax_number": "217-347-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOENE",
"first_name": "CRYSTAL",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051288002",
"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 Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.