Virta Bathani, PHARM.D.
Individual provider Active NPI Pharmacist · Woodridge, IL
NPI 1013277433 · NPPES record last updated May 18, 2012
Key facts
- NPI
- 1013277433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051295513 (IL)
- Practice address
- 1215 Laura LN
Woodridge, IL 60517-5063 - Phone
- (708) 829-9037
- NPI assigned
- May 18, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051295513 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051295513 | IL | Yes |
Addresses
Primary practice location
1215 Laura LN
Woodridge, IL 60517-5063
Mailing address
1215 Laura LN
Woodridge, IL 60517-5063
Phone (708) 829-9037
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.