Individual provider Active NPI

Aristide Cioe III, PHARMD

  • Pharmacist
  • New Lenox, IL
National Provider Identifier
1023521739
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051300759 Issued in IL
Practice address
222 Stone CT
New Lenox, IL 60451-1598
Phone
(779) 205-3184
Fax
(779) 803-0170
NPI assigned
Nov 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051300759 IL Primary

Addresses

Primary practice location

222 Stone CT
New Lenox, IL 60451-1598

Mailing address

39 Hereford Dr
Crete, IL 60417-1016
Phone (708) 369-3248

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051300759ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1023521739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HEREFORD DR",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171016",
            "telephone_number": "708-369-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 STONE CT",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511598",
            "telephone_number": "779-205-3184",
            "fax_number": "779-803-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOE",
        "first_name": "ARISTIDE",
        "name_suffix": "III",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051300759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.