Active NPI
David Michael Carden, R.PH.
- Pharmacist
- Hines, IL
National Provider Identifier
1053499699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- Department of Veterans Affairs Building 37 RM 139
1St Ave One Block North of Cermak Rd
Hines, IL 60141 - Phone
- (708) 786-4923
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 | IL | Primary |
Addresses
Primary practice location
Department of Veterans Affairs Building 37 RM 139
1St Ave One Block North of Cermak Rd
Hines, IL 60141
Mailing address
90 Lincoln Ave
Riverside, IL 60546-1934
Phone (708) 447-0750
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 |
|---|---|---|---|
| 051029539 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053499699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 LINCOLN AVE",
"city": "RIVERSIDE",
"state": "IL",
"postal_code": "605461934",
"telephone_number": "708-447-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF VETERANS AFFAIRS BUILDING 37 RM 139",
"address_2": "1ST AVE ONE BLOCK NORTH OF CERMAK RD",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-786-4923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDEN",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.