Active NPI
Myles L Powell, RPH
- Pharmacist
- Arlington Heights, IL
National Provider Identifier
1154650646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-031119
- Practice address
- 1924 W Spring Ridge Dr
Arlington Heights, IL 60004-1220 - Phone
- (847) 259-0905
- NPI assigned
- Dec 14, 2009
- 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 | 051-031119 | IL | Primary |
Addresses
Primary practice location
1924 W Spring Ridge Dr
Arlington Heights, IL 60004-1220
Mailing address
1924 W Spring Ridge Dr
Arlington Heights, IL 60004-1220
Phone (847) 259-0905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051-031119 | Other | IL | PHARMACIST LICENSE # |
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 |
|---|---|---|---|
| 051-031119 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1154650646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 W SPRING RIDGE DR",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041220",
"telephone_number": "847-259-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 W SPRING RIDGE DR",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041220",
"telephone_number": "847-259-0905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "MYLES",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-14",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-031119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE #",
"identifier": "051-031119",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.