JESSICA WHELAN LLC NPI 1417570920

NPI Information

  • NPI: 1417570920
  • Provider Name: JESSICA WHELAN LLC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Doing Business As: HOLON INCLUSIVE HEALTH SYSTEM
  • Address: 301 S MAIN ST
    DUPO, IL
    ZIP 62239
  • Phone: (314) 470-1220

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NPI Details

JESSICA WHELAN LLC is a compounding pharmacy pharmacy in Dupo, IL. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. JESSICA WHELAN LLC NPI is 1417570920. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Holon Inclusive Health System.

The provider's business location address is:

301 S MAIN ST
DUPO, IL
ZIP 62239-325
Phone: (314) 470-1220
Fax: (833) 914-0432

The provider's authorized official is Jessica Ann Whelan .
The authorized official title is Ceo and has the following contact phone number (314) 470-1220.

The enumeration date for this NPI number is 5/19/2020 and was last updated on 9/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3251J00000XNursing CareNo
4251S00000XCommunity/Behavioral HealthNo
5261QI0500XClinic/CenterInfusion TherapyNo
6261QP2300XClinic/CenterPrimary CareNo
7261QR1100XClinic/CenterResearchNo
8261QR1300XClinic/CenterRural HealthNo
93336S0011XPharmacySpecialty PharmacyNo
10261QM1300XClinic/CenterMulti-SpecialtyNo
11261QM2500XClinic/CenterMedical SpecialtyNo
12261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
13261QM0850XClinic/CenterAdult Mental HealthNo
14261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
153336C0004XPharmacyCompounding PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11760018774OTHERILLINOISNPI
291674OTHERILLINOISMCKESSON SUBMITTER
3STL70408459OTHERILLINOISQUEST ACCOUNT
4691674OTHERILLINOISMCKESSON SUBMITTER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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