Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly R Wollenhaupt

Individual provider Pharmacist · NPI 1578846986

Dr. Kimberly R Wollenhaupt is a Pharmacist in Jacksonville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
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Practice location Address checks out

1800 W Morton Ave
Jacksonville, IL 62650-2619
Phone: (217) 479-0693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051.292941 (IL)

Record details

NPI number1578846986
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2011
Last updated in NPPESSeptember 21, 2011

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