Jeanne Laurette Vanhoveln

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054011335 Issued in IL

Legal business name

JEANNE LAURETTE VANHOVELN

Practice address

105 E Jones St
Milford, IL 60953-1047

Phone

(815) 889-4326

Fax

(815) 889-4326

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jeanne Laurette Vanhoveln, RPHNPI 1497681787

Title

Owner

Phone

(815) 889-4326

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kelly Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Jeanne Laurette Vanhoveln2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kelly Drugs

  • Community/Retail Pharmacy
  • Milford, IL
  • NPI 1285809707
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne Laurette Van Hoveln

  • Pharmacist
  • Milford, IL
  • NPI 1497681787
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1881735975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E JONES ST",
            "address_2": "PO BOX 127",
            "city": "MILFORD",
            "state": "IL",
            "postal_code": "609531047",
            "telephone_number": "815-889-4326",
            "fax_number": "815-889-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E JONES ST",
            "city": "MILFORD",
            "state": "IL",
            "postal_code": "609531047",
            "telephone_number": "815-889-4326",
            "fax_number": "815-889-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE LAURETTE VANHOVELN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "VANHOVELN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "LAURETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-889-4326",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054011335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCDCP",
            "identifier": "1428766",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285809707",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881735975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Ann Hanson, NP
• Hoopeston Community Memorial Hospital
• Iroquois Memorial Hospital and Resident Home
• Iroquois Mental Health Center
• Iroquois Mental Health Center
• Kelly Drugs
• Connie C Langellier, APRN-FPA, FNP-C
• Jon Rugh Link, D.C.
• Sara McTaggart, M.S., CCC-SLP
• Heather M. Mikelson, D.T.

• Community/Retail Pharmacy in Milford, IL
• Providers in Milford, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.