Active NPI
Zachary Song Wolf, PHARMD
- Pharmacist
- Glenview, IL
National Provider Identifier
1093156051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051299311
- Practice address
- 4339 Di Paolo Ctr
Glenview, IL 60025-5202 - Phone
- (847) 299-1920
- NPI assigned
- Jul 7, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032329212 | OH | |
| Pharmacist | 183500000X | 051299311 | IL | Primary |
Addresses
Primary practice location
4339 Di Paolo Ctr
Glenview, IL 60025-5202
Mailing address
4339 Di Paolo Ctr
Glenview, IL 60025-5202
Phone (847) 299-1920
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 |
|---|---|---|---|
| 051299311 | IL | MD | Pharmacist |
| 032329212 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4339 Di Paolo Ctr
Glenview, IL 60025
Phone (847) 257-4800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1093156051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4339 DI PAOLO CTR",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600255202",
"telephone_number": "847-299-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4339 DI PAOLO CTR",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600255202",
"telephone_number": "847-299-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "ZACHARY",
"middle_name": "SONG",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-07",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "032329212",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051299311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.