Active NPI
Jacqueline Eldred, PHARMD
- Pharmacist
- Joliet, IL
National Provider Identifier
1649875519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051296795
- Practice address
- 809 Plainfield Rd
Joliet, IL 60435-4642 - Phone
- (815) 727-8702
- NPI assigned
- Dec 1, 2020
- 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 | 051296795 | IL | Primary |
Addresses
Primary practice location
809 Plainfield Rd
Joliet, IL 60435-4642
Mailing address
809 Plainfield Rd
Joliet, IL 60435-4642
Phone (815) 727-8702
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051296795 | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1649875519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 PLAINFIELD RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604354642",
"telephone_number": "815-727-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 PLAINFIELD RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604354642",
"telephone_number": "815-727-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRED",
"first_name": "JACQUELINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051296795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
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- John Michael Egner, RPH
- Julie Ebohon Ehizemwogie, LEVEL 2 BEHAVIOR THE
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- Elevate and Empower Counseling Services
- Eligijus P Lelis MD & Associates, SC (Spectrum Eye Institute)
- Eligijus P Lelis MD & Associates, SC (Spectrum Eye Institute)
- Eligijus P Lelis MD & Associates, SC (Spectrum Eye Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.