Individual provider Active NPI

Syed Arshad Makki

  • Pharmacist
  • Addison, IL
National Provider Identifier
1194000612
Registry record updated Oct 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-287626 Issued in IL
Practice address
16 E Lake St
Addison
Addison, IL 60101-2819
Phone
(630) 832-7821
Fax
(630) 832-3195
NPI assigned
Oct 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-287626 IL Primary

Addresses

Primary practice location

16 E Lake St
Addison
Addison, IL 60101-2819

Mailing address

526 N Lombard Rd
Addison, IL 60101-1982
Phone (630) 628-6008

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

LicenseStateTypeSpecialty
051-287626ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318723200000",
    "number": "1194000612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 N LOMBARD RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011982",
            "telephone_number": "630-628-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E LAKE ST",
            "address_2": "ADDISON",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012819",
            "telephone_number": "630-832-7821",
            "fax_number": "630-832-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKKI",
        "first_name": "SYED",
        "middle_name": "ARSHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-287626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.