Individual provider Active NPI

Jazmin Bueno Tapia, PHARMD

  • Pharmacist
  • Wauconda, IL
National Provider Identifier
1124990056
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.307040 Issued in IL
Practice address
543 W Liberty St
Wauconda, IL 60084-2470
Phone
(847) 526-1239
Fax
(847) 526-3883
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
051.307040ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Drug Stores LLC PastSince Sep 21, 2025 Accepting new patients
American Drug Stores LLC PastSince Sep 21, 2025 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.307040 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

543 W Liberty St
Wauconda, IL 60084-2470

Mailing address

29625 N Waukegan Rd Apt 307
Lake Bluff, IL 60044-5489
Phone (224) 469-7783

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2025.

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1124990056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29625 N WAUKEGAN RD APT 307",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600445489",
            "telephone_number": "224-469-7783",
            "fax_number": "847-526-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 W LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600842470",
            "telephone_number": "847-526-1239",
            "fax_number": "847-526-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO TAPIA",
        "first_name": "JAZMIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.307040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.