Active NPI
Jennifer Lynn Ratliff
- Pharmacist
- Springfield, IL
National Provider Identifier
1700392990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-286018
- Practice address
- 901 E Southwind Rd
Springfield, IL 62703-5125 - Phone
- (217) 786-6930
- Fax
- (217) 786-0225
- NPI assigned
- Dec 26, 2017
- 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 | 051-286018 | IL | Primary |
Addresses
Primary practice location
901 E Southwind Rd
Springfield, IL 62703-5125
Mailing address
40 Timberline LN
Sherman, IL 62684-9726
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 |
|---|---|---|---|
| 051-286018 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1700392990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 TIMBERLINE LN",
"city": "SHERMAN",
"state": "IL",
"postal_code": "626849726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E SOUTHWIND RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627035125",
"telephone_number": "217-786-6930",
"fax_number": "217-786-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATLIFF",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-286018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.