Active NPI
Gina L Wolff, PHARM.D.
- Pharmacist
- Effingham, IL
National Provider Identifier
1679875199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051291685
- Practice address
- 1006 N Keller Dr
Effingham, IL 62401-1743 - Phone
- (217) 347-2560
- Fax
- (217) 347-3877
- NPI assigned
- Dec 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051291685 | IL | Primary |
| Pharmacist | 183500000X | 26021510A | IN |
Addresses
Primary practice location
1006 N Keller Dr
Effingham, IL 62401-1743
Mailing address
RR 1 Box 59
Saint Elmo, IL 62458-9720
Phone (618) 349-0938
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 |
|---|---|---|---|
| 051291685 | IL | MD | Pharmacist |
| 26021510A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291420800000",
"number": "1679875199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 59",
"city": "SAINT ELMO",
"state": "IL",
"postal_code": "624589720",
"telephone_number": "618-349-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N KELLER DR",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624011743",
"telephone_number": "217-347-2560",
"fax_number": "217-347-3877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "GINA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-04",
"last_updated": "2010-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051291685",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021510A",
"primary": false
}
],
"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 Dec 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.