Kathleen Marie Effertz-Harger

Primary specialty

PharmacistTaxonomy code 183500000X

License

051036760 Issued in IL

Practice address

444 S Main St
Kewanee, IL 61443-2866

Phone

(309) 853-3562

NPI assigned

Dec 15, 2020

Last updated

Dec 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kathy Harger Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Highland Park CVS LLC

  dba CVS Pharmacy #08691

  • Pharmacy
  • Kewanee, IL
  • NPI 1558302505
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1891381737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S MAIN ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614432866",
            "telephone_number": "309-853-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S MAIN ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614432866",
            "telephone_number": "309-853-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFERTZ-HARGER",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051036760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "051036760",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacy",
            "affiliation": "Y",
            "endpointDescription": "cvs pharmacy",
            "affiliationName": "Highland Park CVS, L.L.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "444 S Main St",
            "city": "Kewanee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "614432866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "HARGER",
            "credential": "R.PH.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jon A Debord, PT MS ATC SCS
• Lilly A Debord, PT, DPT
• Rebekah Frances Dees-McMahon, D. MIN..
• Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Kewanee)
• Susan Renee Draminski, CCC-SLP/L
• Jill Engstrom
• Monica Ensley, PTA
• Sadie Jo Espino, M.S CF-SLP
• Guadalupe Favela
• Margaret Ann Feurer, NURSE PRACTITIONER

• Pharmacist in Kewanee, IL
• Providers in Kewanee, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.