Active NPI
Erin Beth Wetzel, PHARM. D, RPH
- Pharmacist
- Mattoon, IL
National Provider Identifier
1730457367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.286754
- Practice address
- 212 S Logan Ave
Mattoon, IL 61938-4595 - Phone
- (217) 235-3126
- Fax
- (217) 234-3675
- NPI assigned
- Dec 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 051.286754 | IL | Primary |
Addresses
Primary practice location
212 S Logan Ave
Mattoon, IL 61938-4595
Mailing address
1 Buck Grove Est
Mattoon, IL 61938-9335
Phone (217) 235-1408
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.286754 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323475200000",
"number": "1730457367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BUCK GROVE EST",
"city": "MATTOON",
"state": "IL",
"postal_code": "619389335",
"telephone_number": "217-235-1408",
"fax_number": "217-234-3675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S LOGAN AVE",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384595",
"telephone_number": "217-235-3126",
"fax_number": "217-234-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZEL",
"first_name": "ERIN",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "PHARM. D, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-10",
"last_updated": "2011-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.286754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.