Individual provider Active NPI

Seth Anato, PHARM.D.

  • Pharmacist
  • Alton, IL
National Provider Identifier
1871900449
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.296965 Issued in IL
Practice address
1 Professional Dr Ste 170
Alton, IL 62002-5069
Phone
(618) 463-0000
Fax
(618) 463-0008
NPI assigned
Jul 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2013042272 MO
Pharmacist 183500000X 051.296965 IL Primary

Addresses

Primary practice location

1 Professional Dr Ste 170
Alton, IL 62002-5069

Mailing address

404 Village Dr
Glen Carbon, IL 62034-2734

Other practice location 1

3631 Gravois Ave
Saint Louis, MO 63116-4727
Phone (314) 772-4446

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

LicenseStateTypeSpecialty
051.296965ILMDPharmacist
2013042272MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1871900449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 VILLAGE DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL DR STE 170",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025069",
            "telephone_number": "618-463-0000",
            "fax_number": "618-463-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3631 Gravois Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631164727",
            "country_code": "US",
            "telephone_number": "314-772-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANATO",
        "first_name": "SETH",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2013042272",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.296965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.