Active NPI
Gary Berger
- Pharmacist
- Highland Park, IL
National Provider Identifier
1174774624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051029735
- Practice address
- 1630 Old Deerfield Rd
Suite 202
Highland Park, IL 60035-3027 - Phone
- (847) 579-0093
- Fax
- (847) 579-0108
- NPI assigned
- Oct 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 051029735 | IL | Primary |
Addresses
Primary practice location
1630 Old Deerfield Rd
Suite 202
Highland Park, IL 60035-3027
Mailing address
1630 Old Deerfield Rd
Suite 202
Highland Park, IL 60035-3027
Phone (847) 579-0093
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051029735 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Pharmacy LLC | Past | 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.
-
- Community/Retail Pharmacy
- Skokie, IL
- NPI 1780858647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1174774624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 OLD DEERFIELD RD",
"address_2": "SUITE 202",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353027",
"telephone_number": "847-579-0093",
"fax_number": "847-579-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 OLD DEERFIELD RD",
"address_2": "SUITE 202",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600353027",
"telephone_number": "847-579-0093",
"fax_number": "847-579-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-02",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051029735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.