Community Drug, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COMMUNITY DRUG, INC.

Doing business as

Nelson Drug Store

Practice address

609 Douglas
Pawnee, IL 62558-0619

Phone

(217) 625-7212

Fax

(217) 625-4001

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Siefert, RPH

Title

Owner RPH

Phone

(217) 625-7212

Specialties & licenses 1

Addresses

Other names 1

• Nelson Drug Store Doing business as

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720200223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 619",
            "city": "PAWNEE",
            "state": "IL",
            "postal_code": "625580619",
            "telephone_number": "217-625-7212",
            "fax_number": "217-625-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 DOUGLAS",
            "city": "PAWNEE",
            "state": "IL",
            "postal_code": "625580619",
            "telephone_number": "217-625-7212",
            "fax_number": "217-625-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEFERT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER RPH",
        "authorized_official_telephone_number": "217-625-7212",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Blevins Krivi
• Carl Joseph Clarizio III, ATC, LAT, M.ED.
• Harrys Pharmacy Inc (Carroll Street Pharmacy, Inc.)
• Michaela Hartley
• Melanie Jesse, LCSW
• Steven T Landrey, D.C.
• Kathleen Morris, B.S., M.A.

• Community/Retail Pharmacy in Pawnee, IL
• Providers in Pawnee, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.