Coartney L Hedger, PHARM.D
Individual provider Active NPI Pharmacist · Vienna, IL
NPI 1972979516 · NPPES record last updated Nov 11, 2020
Key facts
- NPI
- 1972979516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051296644 (IL)
- Practice address
- 803 1/2 N 1St St
Vienna, IL 62995-1849 - Phone
- (618) 658-3784
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051296644 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051296644 | IL | Yes |
Addresses
Primary practice location
803 1/2 N 1St St
Vienna, IL 62995-1849
Mailing address
803 1/2 N 1St St
Vienna, IL 62995-1849
Phone (186) 583-7846
Other practice location 1
710 S Commercial St
Harrisburg, IL 62946-2346
Phone (618) 252-3059
Other providers in Vienna, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.