Active NPI
Karen Marie Shubert, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Murphysboro, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 051289523
- Practice address
- 550 E Industrial Park Rd Unit 1
Murphysboro, IL 62966-3947 - Phone
- (618) 687-9454
- NPI assigned
- Sep 13, 2007
- Last updated
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 013571 | KY | |
| Pharmacist | 183500000X | 051289523 | IL | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 013571 | KY | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051289523 | IL | Primary |
Addresses
Primary practice location
550 E Industrial Park Rd Unit 1
Murphysboro, IL 62966-3947
Mailing address
550 E Industrial Park Rd Unit 1
Murphysboro, IL 62966-3947
Phone (618) 687-9454
Other practice location 1
501 N Giant City Rd
Carbondale, IL 62902-6417
Phone (618) 549-9743
Other practice location 2
415 S 42nd St
Mount Vernon, IL 62864-6266
Phone (618) 244-9660
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051289523 | IL | MD | Pharmacist |
| 013571 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Murphysboro, IL
- NPI 1134153943
-
dba Kroger Pharmacy #473
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1801081674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E INDUSTRIAL PARK RD UNIT 1",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629663947",
"telephone_number": "618-687-9454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E INDUSTRIAL PARK RD UNIT 1",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629663947",
"telephone_number": "618-687-9454"
}
],
"practiceLocations": [
{
"address_1": "501 N Giant City Rd",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629026417",
"country_code": "US",
"telephone_number": "618-549-9743",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 S 42nd St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "IL",
"postal_code": "628646266",
"country_code": "US",
"telephone_number": "618-244-9660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUBERT",
"first_name": "KAREN",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "013571",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051289523",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KY",
"license": "013571",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IL",
"license": "051289523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murphysboro, IL
- Rosiland Sedlacek
- Sahitya Settypalli, M.D
- Shawnee Health Service and Development Corp (Shawnee Health Care Pharmacy)
- Shawnee Health Service and Development Corp (Shawnee Health Care, Murphysboro)
- Shawnee Health Service and Development Corp (Shawnee Health Care, Murphysboro SUD)
- Colette Ellen Smith, LCSW, CADC
- Robert Mervin Smith, R.PH.
- Todd Smith, MD
- Southern Il Dental Sleep Medicine
- Southern Illinois Hospital Services (St. Joseph Memorial Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.