Individual provider Active NPI

Alicia Lee Wuebbels, RPH

  • Pharmacist
  • Centralia, IL
National Provider Identifier
1780375535
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051286667 Issued in IL
Practice address
817 E McCord St
Centralia, IL 62801-3044
Phone
(618) 533-3300
Fax
(618) 533-3302
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051286667 IL Primary

Addresses

Primary practice location

817 E McCord St
Centralia, IL 62801-3044

Mailing address

817 E McCord St
Centralia, IL 62801-3044
Phone (618) 533-3300

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051286667ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Morton-Wuebbels Pharmacy Inc Current Accepting new patients

Locations

817 E McCord St
Centralia, IL 62801
Phone (618) 533-3300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1780375535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E MCCORD ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013044",
            "telephone_number": "618-533-3300",
            "fax_number": "618-533-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E MCCORD ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013044",
            "telephone_number": "618-533-3300",
            "fax_number": "618-533-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUEBBELS",
        "first_name": "ALICIA",
        "middle_name": "LEE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051286667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.