Active NPI
Elaine Moy, PHARM.D.
- Pharmacist
- Chester, IL
National Provider Identifier
1679759344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-292036
- Practice address
- 1315 Lehmen Dr
Chester, IL 62233-2542 - Phone
- (618) 861-0330
- Fax
- (618) 826-3915
- NPI assigned
- Jan 12, 2008
- Last updated
- Nov 30, 2022
- 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 | 051-292036 | IL | Primary |
Addresses
Primary practice location
1315 Lehmen Dr
Chester, IL 62233-2542
Mailing address
1315 Lehmen Dr
Chester, IL 62233-2542
Phone (618) 826-4571
Other practice location 1
871 Illinois Route 83
Bensenville, IL 60106-1219
Phone (888) 806-3379
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 |
|---|---|---|---|
| 051-292036 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifemed Illinois, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Chester, IL
- NPI 1043364870
-
- Long Term Care Pharmacy
- Bensenville, IL
- NPI 1194144691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1679759344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 LEHMEN DR",
"city": "CHESTER",
"state": "IL",
"postal_code": "622332542",
"telephone_number": "618-826-4571",
"fax_number": "618-826-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 LEHMEN DR",
"city": "CHESTER",
"state": "IL",
"postal_code": "622332542",
"telephone_number": "618-861-0330",
"fax_number": "618-826-3915"
}
],
"practiceLocations": [
{
"address_1": "871 Illinois Route 83",
"address_purpose": "LOCATION",
"city": "Bensenville",
"state": "IL",
"postal_code": "601061219",
"country_code": "US",
"telephone_number": "888-806-3379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOY",
"first_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-12",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-292036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.