Sam Rizzo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051-034212 Issued in IL

Practice address

3201 W 95TH St
Evergreen Park, IL 60805-2315

Phone

(708) 499-8811

Fax

(708) 499-8816

NPI assigned

Dec 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Highland Park CVS, L.L.C.

  • Pharmacy
  • Evergreen Park, IL
  • NPI 1487758322
  NPD (past)

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1104421742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 NATOMA AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592343",
            "telephone_number": "708-430-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052315",
            "telephone_number": "708-499-8811",
            "fax_number": "708-499-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "SAM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-034212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhicc,LLC
• Richard E Odonnell DO SC
• Mikaela Rico, DO
• Luay Rifai
• Katherine M Riff, MD
• Robert J. Bonk, D.O., LTD.
• Kenrick L Roberts, PHYSICIAN ASSISTANT
• Lin Roberts, M.D.
• Bruce Paul Robinson, LCSW
• Cristobal Robledo, SURGICAL ASSISTANT

• Pharmacist in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.