Della Darlene Pugh, R.N.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

Junction 34 & Rte 146
Rosiclare, IL 62982

Phone

(618) 285-3511

Fax

(618) 285-3597

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Southern Illinois Oxygen & Med Supplies

  • Durable Medical Equipment & Medical Supplies
  • Metropolis, IL
  • NPI 1003035759
  NPD (past) Authorized official
• Southern Illinois Oxygen, Inc

  • Durable Medical Equipment & Medical Supplies
  • Rosiclare, IL
  • NPI 1447441308
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700986114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "ELIZABETHTOWN",
            "state": "IL",
            "postal_code": "629310382",
            "telephone_number": "618-285-6370",
            "fax_number": "618-285-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JUNCTION 34 & RTE 146",
            "city": "ROSICLARE",
            "state": "IL",
            "postal_code": "62982",
            "telephone_number": "618-285-3511",
            "fax_number": "618-285-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "DELLA",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAXONOMY NUMBER",
            "identifier": "332B00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hardin County Pharmacy LLC
• Cheryl Hicks
• Angela Brooke Kaylor, NP
• Megan Leahy
• Petersen Health Network, LLC (Whispering Oaks)
• Rosiclare Hco, LLC
• Rosiclare Hco, LLC (Rosiclare Rehabilitation & Health Care Center)
• Southern Illinois Oxygen, Inc
• Marcos N Sunga Jr., MD
• William Richard Wilborn, R.PH.

• Durable Medical Equipment & Medical Supplies in Rosiclare, IL
• Providers in Rosiclare, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.