Active NPI
Diane Meyerhoff, RPH
- Pharmacist
- Chester, IL
National Provider Identifier
1801412515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.037419
- Practice address
- 2323 Old Plank Rd
Chester, IL 62233-1153 - Phone
- (618) 826-2511
- Fax
- (618) 826-3060
- NPI assigned
- Jun 18, 2020
- Last updated
- Jun 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.037419 | IL | Primary |
Addresses
Primary practice location
2323 Old Plank Rd
Chester, IL 62233-1153
Mailing address
2323 Old Plank Rd
Chester, IL 62233-1153
Phone (618) 826-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831912704002 | Medicaid | IL |
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 |
|---|---|---|---|
| 051.037419 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1801412515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 OLD PLANK RD",
"city": "CHESTER",
"state": "IL",
"postal_code": "622331153",
"telephone_number": "618-826-2511",
"fax_number": "618-826-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 OLD PLANK RD",
"city": "CHESTER",
"state": "IL",
"postal_code": "622331153",
"telephone_number": "618-826-2511",
"fax_number": "618-826-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERHOFF",
"first_name": "DIANE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.037419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "831912704002",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.