Active NPI
Malvika Yogesh Patel, RPH
- Pharmacist
- Morton Grove, IL
National Provider Identifier
1003197021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051038103
- Practice address
- 5730 Dempster St
Morton Grove, IL 60053-3042 - Phone
- (847) 583-9309
- Fax
- (847) 583-9331
- NPI assigned
- Sep 3, 2011
- Last updated
- Sep 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051038103 | IL | Primary |
Addresses
Primary practice location
5730 Dempster St
Morton Grove, IL 60053-3042
Mailing address
5730 Dempster St
Morton Grove, IL 60053-3042
Phone (847) 583-9309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051038103 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315008000000",
"number": "1003197021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 DEMPSTER ST",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600533042",
"telephone_number": "847-583-9309",
"fax_number": "847-583-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 DEMPSTER ST",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600533042",
"telephone_number": "847-583-9309",
"fax_number": "847-583-9331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MALVIKA",
"middle_name": "YOGESH",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-03",
"last_updated": "2011-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051038103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.