Individual provider Active NPI

Martin Slowinski

  • Pharmacist
  • Hillside, IL
National Provider Identifier
1053908947
Registry record updated Dec 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051300660 Issued in IL
Practice address
600 N Mannheim Rd
Hillside, IL 60162-1122
Phone
(708) 649-3741
NPI assigned
Dec 25, 2020
Last updated
Dec 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051300660 IL Primary

Addresses

Primary practice location

600 N Mannheim Rd
Hillside, IL 60162-1122

Mailing address

600 N Mannheim Rd
Hillside, IL 60162-1122
Phone (708) 649-3741

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

LicenseStateTypeSpecialty
051300660ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1608854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608854400000",
    "number": "1053908947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MANNHEIM RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621122",
            "telephone_number": "708-649-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MANNHEIM RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621122",
            "telephone_number": "708-649-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOWINSKI",
        "first_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-25",
        "last_updated": "2020-12-25",
        "certification_date": "2020-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051300660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2020; 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.