Active NPI
Christine Padjen, RPH
- Pharmacist
- Cary, IL
National Provider Identifier
1174800536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-037327
- Practice address
- 500 Northwest Hwy
Cary, IL 60013-2995 - Phone
- (847) 516-3806
- NPI assigned
- Nov 12, 2011
- Last updated
- Nov 12, 2011
- Sex
- Female
- 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 | 051-037327 | IL | Primary |
Addresses
Primary practice location
500 Northwest Hwy
Cary, IL 60013-2995
Mailing address
1713 South St
Crystal Lake, IL 60014-2464
Phone (815) 455-3098
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 |
|---|---|---|---|
| 051-037327 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321056000000",
"number": "1174800536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 SOUTH ST",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600142464",
"telephone_number": "815-455-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NORTHWEST HWY",
"city": "CARY",
"state": "IL",
"postal_code": "600132995",
"telephone_number": "847-516-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADJEN",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-12",
"last_updated": "2011-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-037327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.