Active NPI
Jesus Rojo
- Pharmacist
- Berwyn, IL
National Provider Identifier
1033458005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.295441
- Practice address
- 6723 Cermak Rd
Berwyn, IL 60402-2216 - Phone
- (708) 317-5313
- Fax
- (708) 317-5316
- NPI assigned
- Feb 11, 2013
- Last updated
- Feb 11, 2013
- Sex
- Male
- 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 | 051.295441 | IL | Primary |
Addresses
Primary practice location
6723 Cermak Rd
Berwyn, IL 60402-2216
Mailing address
5317 W 24TH St
2ND Floor
Cicero, IL 60804-2832
Phone (708) 656-0218
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.295441 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360540800000",
"number": "1033458005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5317 W 24TH ST",
"address_2": "2ND FLOOR",
"city": "CICERO",
"state": "IL",
"postal_code": "608042832",
"telephone_number": "708-656-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 CERMAK RD",
"city": "BERWYN",
"state": "IL",
"postal_code": "604022216",
"telephone_number": "708-317-5313",
"fax_number": "708-317-5316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJO",
"first_name": "JESUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-11",
"last_updated": "2013-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.295441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.