Elizabeth Marie Roedl, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051292725 Issued in IL

Practice address

1022 W Main St
Salem, IL 62881-1304

Phone

(618) 548-5300

NPI assigned

Nov 23, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, L.L.C.

  dba CVS Pharmacy #06389

  • Pharmacy
  • Salem, IL
  • NPI 1720181597
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1902400872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 W MAIN ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811304",
            "telephone_number": "618-548-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W MAIN ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811304",
            "telephone_number": "618-548-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDL",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Nicole Rambo, OD
• Josee Redpath, OTR
• Revival Health and Wellness Clinic
• Jaime Renee Richardson, CPM
• Julia Roberts, FNP-C
• Crea Rose
• Luecha Rutngamlug, MD
• Salem Chiropractic LLC
• Salem Comm HS Dist 600
• Salem Counseling Center, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.