Jenna Vogel, PHARMD

Individual provider Active NPI Pharmacist · Hoopeston, IL

NPI 1760196828 · NPPES record last updated Jan 12, 2023

Key facts

NPI
1760196828
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
051297532 (IL)
Practice address
805 S Dixie Hwy
Hoopeston, IL 60942-1939
Phone
(217) 283-7225
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051297532ILMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051297532 IL Yes

Addresses

Primary practice location

805 S Dixie Hwy
Hoopeston, IL 60942-1939

Mailing address

805 S Dixie Hwy
Hoopeston, IL 60942-1939

Other providers in Hoopeston, IL

All providers in Hoopeston, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.