MIRANDA ALEXANDRIA ZERRUSEN
NPI 1437759586
Pharmacist in Mattoon, IL

Active since October 28, 2020
101 DETTRO DR, MATTOON, IL 61938(172) 586-3132 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miranda Alexandria Zerrusen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA ALEXANDRIA ZERRUSEN (NPI 1437759586) is an individual pharmacist in Mattoon, Illinois, licensed in Illinois (051301319) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1437759586
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMIRANDA ALEXANDRIA ZERRUSEN
Location Address101 DETTRO DRMattoon, IL 61938-9044
Mailing Address101 Dettro DrMattoon, IL 61938-9044
Sole ProprietorYes
Enumeration DateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1437759586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051301319
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

101 DETTRO DR, Mattoon, IL 61938

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
101 DETTRO DR
MATTOON, IL 61938
Pharmacist
101 DETTRO DR
MATTOON, IL 61938
Pharmacy (Community/Retail Pharmacy)
101 DETTRO DR
MATTOON, IL 61938
Eyewear Supplier
101 DETTRO DR
MATTOON, IL 61938

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437759586, enumerated as an "individual" on October 28, 2020.

The provider is located at 101 DETTRO DR MATTOON, IL 61938 and the phone number is (172) 586-3132.

Pharmacist with taxonomy code 183500000X.