Active NPI
Aubrie Laine Patkus, PHARMD
- Pharmacist
- Jacksonville, IL
National Provider Identifier
1851804199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.300887
- Practice address
- 134 W Morton Ave
Jacksonville, IL 62650-2811 - Phone
- (217) 243-7818
- NPI assigned
- Nov 8, 2017
- Last updated
- Nov 8, 2017
- 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 | 051.300887 | IL | Primary |
Addresses
Primary practice location
134 W Morton Ave
Jacksonville, IL 62650-2811
Mailing address
21 E Park Ave
Witt, IL 62094-1148
Phone (217) 313-5212
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.300887 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1851804199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 E PARK AVE",
"city": "WITT",
"state": "IL",
"postal_code": "620941148",
"telephone_number": "217-313-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W MORTON AVE",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626502811",
"telephone_number": "217-243-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATKUS",
"first_name": "AUBRIE",
"middle_name": "LAINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.300887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.