Bharat Acharya

Individual provider Active NPI Pharmacist · Chicago, IL

NPI 1104258920 · NPPES record last updated Aug 2, 2013

Key facts

NPI
1104258920
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
051031241 (IL)
Practice address
7050 S Pulaski Rd
Chicago, IL 60629-5824
Phone
(773) 767-2807
Fax
(773) 767-9818
NPI assigned
Aug 2, 2013
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
051031241ILMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051031241 IL Yes

Addresses

Primary practice location

7050 S Pulaski Rd
Chicago, IL 60629-5824

Mailing address

5 Shenandoah CT
Bolingbrook, IL 60440-1462

Other providers in Chicago, IL

All providers in Chicago, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.