Bushrah Bakhsh, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

051298939 Issued in IL

Practice address

1680 W Lane Rd
Machesney Park, IL 61115-1623

Phone

(815) 282-1203

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1154934230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 VAN METER DR",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392744",
            "telephone_number": "630-699-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W LANE RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151623",
            "telephone_number": "815-282-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHSH",
        "first_name": "BUSHRAH",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "IL",
            "license": "051.298939",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051298939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Lou Anderson
• Alexandria Andrews
• Kamya D Andrews
• Jory Angel Angileri, PHARMD
• Apria Healthcare LLC
• Kimberly A Baldwin, APN
• Christine Barrientes
• Julie K Barthels, LCSW
• Philip Sudchart Benjakul, MD
• John D Benton, LCSW

• Pharmacist in Machesney Park, IL
• Providers in Machesney Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.