Individual provider Active NPI

Irene Zervopoulos, PHARM.D.

  • Pharmacist
  • Elmhurst, IL
National Provider Identifier
1134551500
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051039685 Issued in IL
Practice address
265 South Illinois Route 83
Elmhurst, IL 60126-3019
Phone
(630) 617-5372
Fax
(630) 617-5374
NPI assigned
Aug 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051039685 IL Primary

Addresses

Primary practice location

265 South Illinois Route 83
Elmhurst, IL 60126-3019

Mailing address

265 South Rte 83 Ave
Elmhurst, IL 61026
Phone (630) 617-5372

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
051039685ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1134551500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SOUTH RTE 83 AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "61026",
            "telephone_number": "630-617-5372",
            "fax_number": "630-617-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SOUTH ILLINOIS ROUTE 83",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263019",
            "telephone_number": "630-617-5372",
            "fax_number": "630-617-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERVOPOULOS",
        "first_name": "IRENE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051039685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.