Active NPI
Ami Kotecha, PHARMD
- Pharmacist
- Elmhurst, IL
National Provider Identifier
1083982334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051295407
- Practice address
- 155 E Brush Hill Rd
D 1543
Elmhurst, IL 60126-5658 - Phone
- (708) 263-8966
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- 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 | 051295407 | IL | Primary |
Addresses
Primary practice location
155 E Brush Hill Rd
D 1543
Elmhurst, IL 60126-5658
Mailing address
7514 W Diversey Ave
Unit 3S
Elmwood Park, IL 60707-1461
Phone (708) 263-8966
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051295407 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1083982334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7514 W DIVERSEY AVE",
"address_2": "UNIT 3S",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607071461",
"telephone_number": "708-263-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 E BRUSH HILL RD",
"address_2": "D 1543",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265658",
"telephone_number": "708-263-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTECHA",
"first_name": "AMI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051295407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.