Provider Demographics
NPI:1861091472
Name:BIGGS, WHITNEY NICOLE (PHARMD)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:NICOLE
Last Name:BIGGS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:NICOLE
Other - Last Name:GREENWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1515 STONEROLLER CIR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61705-5310
Mailing Address - Country:US
Mailing Address - Phone:217-276-9640
Mailing Address - Fax:
Practice Address - Street 1:3320 VETERANS DR
Practice Address - Street 2:
Practice Address - City:PEKIN
Practice Address - State:IL
Practice Address - Zip Code:61554-9319
Practice Address - Country:US
Practice Address - Phone:217-276-9640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024204A183500000X
IL051295214183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist