Individual provider Active NPI

Edwin Muldrow, PHARMACIST

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1124919782
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.039643 Issued in IL
Practice address
3726 W 16TH St
Chicago, IL 60623-2026
Phone
(773) 762-5058
Fax
(773) 762-4925
NPI assigned
Jul 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.039643 IL Primary

Addresses

Primary practice location

3726 W 16TH St
Chicago, IL 60623-2026

Mailing address

3726 W 16TH St
Chicago, IL 60623-2026
Phone (773) 762-5058

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

State licenses

LicenseStateTypeSpecialty
051.039643ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Del Kar Pharmacy Inc. PastSince Jul 13, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1124919782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 W 16TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232026",
            "telephone_number": "773-762-5058",
            "fax_number": "773-762-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 W 16TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232026",
            "telephone_number": "773-762-5058",
            "fax_number": "773-762-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDROW",
        "first_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.039643",
            "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 Jul 11, 2025; 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.