Active NPI
Joann Lauretta Poli, BS,RPH,MSHSA
- Pharmacist
- Frankfort, IL
National Provider Identifier
1831371178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-029641
- Practice address
- 354 N Lagrange Rd
Frankfort, IL 60423-2008 - Phone
- (815) 464-5064
- Fax
- (815) 464-5733
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 051-029641 | IL | Primary |
Addresses
Primary practice location
354 N Lagrange Rd
Frankfort, IL 60423-2008
Mailing address
354 N Lagrange Rd
Frankfort, IL 60423-2008
Phone (815) 464-5064
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
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-029641 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1831371178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 N LAGRANGE RD",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604232008",
"telephone_number": "815-464-5064",
"fax_number": "815-464-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 N LAGRANGE RD",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604232008",
"telephone_number": "815-464-5064",
"fax_number": "815-464-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLI",
"first_name": "JOANN",
"middle_name": "LAURETTA",
"name_prefix": "Ms.",
"credential": "BS,RPH,MSHSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-28",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-029641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.