Lindsey Disbrow

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

051302215 Issued in IL

Practice address

1609 S Park Ave
Herrin, IL 62948-4162

Phone

(618) 988-1649

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1710518014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 LADY BUG LN",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629182507",
            "telephone_number": "314-489-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 S PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484162",
            "telephone_number": "618-988-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISBROW",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IL",
            "license": "051302215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiane May Davis, RBT
• Thomas West Davis, MD
• Brett Michael Dempsey, MD
• Kathy Sue Devous, AGACNP-BC
• Kortney Jane Diefenbach, RBT
• Amy Dodd, APN
• Dawn Amber Dueker, SLP
• Cindy Duong, DPM
• Andrew Thomas Dust, OD
• Gerri Dyer, NP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Herrin, IL
• Providers in Herrin, IL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.