Ronald Paul Quinones, PHARMD
Individual provider Active NPI Pharmacist · Havana, IL
NPI 1780288183 · NPPES record last updated Nov 25, 2020
Key facts
- NPI
- 1780288183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051-288305 (IL)
- Practice address
- 201 W Main St
Havana, IL 62644-1137 - Phone
- (309) 543-2253
- Fax
- (309) 543-3471
- NPI assigned
- Nov 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051-288305 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R & Q Corporation | Past |
Accepting new patients | |
| R & Q Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-288305 | IL | Yes |
Addresses
Primary practice location
201 W Main St
Havana, IL 62644-1137
Mailing address
17248 Sherwood Forest Rd
Havana, IL 62644-6336
Phone (309) 361-9370
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | HAVANA | Health Information Exchange (HIE) |
Other providers in Havana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.