Active NPI
Richard David Rambo, RPH
- Pharmacist
- Northlake, IL
National Provider Identifier
1104914118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.036097
- Practice address
- 6 E North Avenue
Northlake, IL 60164 - Phone
- (708) 836-0348
- Fax
- (708) 836-0418
- NPI assigned
- Oct 11, 2006
- Last updated
- Oct 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.036097 | IL | Primary |
Addresses
Primary practice location
6 E North Avenue
Northlake, IL 60164
Mailing address
6 E North Avenue
Northlake, IL 60164
Phone (708) 836-0348
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.036097 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior RX Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1104914118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 E NORTH AVENUE",
"city": "NORTHLAKE",
"state": "IL",
"postal_code": "60164",
"telephone_number": "708-836-0348",
"fax_number": "708-836-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E NORTH AVENUE",
"city": "NORTHLAKE",
"state": "IL",
"postal_code": "60164",
"telephone_number": "708-836-0348",
"fax_number": "708-836-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMBO",
"first_name": "RICHARD",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.036097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northlake, IL
- Allison Porschakin
- Powerback Rehabilitation LLC
- Premier Care Services LLC
- Presence Senior Services Chicagoland (Ascension Living Casa Scalabrini Village)
- Prime Care LTC Consulting Inc
- Recovercare, LLC
- Elizabeth Robbin, M.S., CCC-SLP/L
- Keith P. Rojek, DDS
- Sai Medical Inc (A2Z Medical Supply)
- Sam's Club Optical (Sam's Club Optical 30-6358)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.