Active NPI
Nirav Amin, PHARM. D.
- Pharmacist
- Chicago, IL
National Provider Identifier
1114208618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IL051.292960
- Practice address
- 501 W Roosevelt Rd
Chicago, IL 60607-4908 - Phone
- (312) 492-8559
- Fax
- (312) 492-8564
- NPI assigned
- Aug 30, 2011
- Last updated
- Oct 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL051.292960 | IL | Primary |
Addresses
Primary practice location
501 W Roosevelt Rd
Chicago, IL 60607-4908
Mailing address
16675 Oak Park Ave
Tinley Park, IL 60477-1754
Phone (708) 429-0880
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 |
|---|---|---|---|
| IL051.292960 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381536000000",
"number": "1114208618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16675 OAK PARK AVE",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771754",
"telephone_number": "708-429-0880",
"fax_number": "708-429-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W ROOSEVELT RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074908",
"telephone_number": "312-492-8559",
"fax_number": "312-492-8564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "NIRAV",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2013-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "IL051.292960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.