Joe A Sorisho, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051040354 Issued in IL

Practice address

7139 N Milwaukee Ave
Niles, IL 60714-4424

Phone

(847) 647-6422

Fax

(847) 647-6520

NPI assigned

Mar 22, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highland Park CVS, L.L.C.

  • Pharmacy
  • Niles, IL
  • NPI 1588895494
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1013283142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 N EAST PRAIRIE RD",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121010",
            "telephone_number": "224-616-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144424",
            "telephone_number": "847-647-6422",
            "fax_number": "847-647-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORISHO",
        "first_name": "JOE",
        "middle_name": "A",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051040354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371414552034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Niles, IL
• Providers in Niles, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.