Jpie Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

JPIE INC.

Doing business as

Main Street Pharmacy

Practice address

120 W 1St St
Dixon, IL 61021-3025

Phone

(815) 288-1995

Fax

(815) 288-7813

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Michael Pietryga, RPH

Title

President

Phone

(815) 288-1995

Specialties & licenses 1

Addresses

Other names 1

• Main Street Pharmacy Doing business as

Tax ID family

Dixon Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jpie Inc.

  • Pharmacist
  • Dixon, IL
  • NPI 1790836740
  NPD tax ID

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750433306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213025",
            "telephone_number": "815-288-1995",
            "fax_number": "815-288-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213025",
            "telephone_number": "815-288-1995",
            "fax_number": "815-288-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPIE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIETRYGA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-288-1995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurel Michelle Johnson, RBT-17-43570
• Morgan Johnson, LCSW
• Quinn Johnson, QMHP
• Robert Lucas Johnson, D.C.
• Christopher Jordan
• Jpie Inc.
• Meghan Nicole Jurgaitis, PA-C
• Khyati Vijay Kadia, M.D.
• Shannon Kaecker
• Katherine Shaw Bethea Hospital

• Pharmacist in Dixon, IL
• Providers in Dixon, IL by specialty
• Pharmacist 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.