Individual provider Active NPI

Harry Michael Zollars, PHARMD

  • Pharmacist
  • Maryville, IL
National Provider Identifier
1679989503
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051296906 Issued in IL
Practice address
2700 N Center St
Maryville, IL 62062-5624
Phone
(618) 288-7474
Fax
(618) 288-1860
NPI assigned
Jul 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2013032796 MO
Pharmacist 183500000X 051296906 IL Primary

Addresses

Primary practice location

2700 N Center St
Maryville, IL 62062-5624

Mailing address

PO Box 160
Maryville, IL 62062-0160
Phone (618) 288-7474

Other identifiers 1

IdentifierTypeStateIssuer
051.296906OtherILILLINOIS BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
051296906ILMDPharmacist
2013032796MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Management Zone Inc. CurrentSince Aug 9, 2020 Accepting new patients
Health Management Zone Inc. Current Accepting new patients
Sullivan Drugs of Staunton Past Accepting new patients
Ageless RX Systems LLC Past Accepting new patients

Locations

2700 N Center St
Maryville, IL 62062
Phone (618) 288-7474

Organizations & group practices 4

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1679989503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620620160",
            "telephone_number": "618-288-7474",
            "fax_number": "618-288-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N CENTER ST",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625624",
            "telephone_number": "618-288-7474",
            "fax_number": "618-288-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLARS",
        "first_name": "HARRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2013032796",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051296906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BOARD OF PHARMACY",
            "identifier": "051.296906",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.