Active NPI
Nikola Ristic, PHARMD
- Pharmacist
- Niles, IL
National Provider Identifier
1184104390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.299247
- Practice address
- 7311 N Melvina Ave
Niles, IL 60714-3905 - Phone
- (847) 972-3002
- NPI assigned
- Aug 16, 2018
- 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 | 051.299247 | IL | Primary |
Addresses
Primary practice location
7311 N Melvina Ave
Niles, IL 60714-3905
Mailing address
30051 N Waukegan Rd Apt 111
Lake Bluff, IL 60044-5414
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.299247 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1184104390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30051 N WAUKEGAN RD APT 111",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600445414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7311 N MELVINA AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607143905",
"telephone_number": "847-972-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISTIC",
"first_name": "NIKOLA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.299247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.