Healthcare Provider Details

I. General information

NPI: 1609797059
Provider Name (Legal Business Name): EMERY JOY LOMELINO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 BROADWAY ST
QUINCY IL
62301-3713
US

IV. Provider business mailing address

6314 HIGHWAY 96 S
PAYSON IL
62360-2046
US

V. Phone/Fax

Practice location:
  • Phone: 217-277-4070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number051.308980
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: