Active NPI
Vivian Ibe, PHARM. D
- Pharmacotherapy Pharmacist
- North Chicago, IL
National Provider Identifier
1194077750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 051287897
- Practice address
- 3001 Green Bay Road
Dept. of Pharmacy, James a. Lovell Fed. Healthcare Ctr.
North Chicago, IL 60064 - Phone
- (224) 610-4390
- NPI assigned
- Oct 8, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 051287897 | IL | Primary |
Addresses
Primary practice location
3001 Green Bay Road
Dept. of Pharmacy, James a. Lovell Fed. Healthcare Ctr.
North Chicago, IL 60064
Mailing address
3001 Green Bay Road
Dept. of Pharmacy, James a. Lovell Fed. Healthcare Ctr.
North Chicago, IL 60064
Phone (224) 610-4390
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 |
|---|---|---|---|
| 051287897 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1194077750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 GREEN BAY ROAD",
"address_2": "DEPT. OF PHARMACY, JAMES A. LOVELL FED. HEALTHCARE CTR.",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "60064",
"telephone_number": "224-610-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 GREEN BAY ROAD",
"address_2": "DEPT. OF PHARMACY, JAMES A. LOVELL FED. HEALTHCARE CTR.",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "60064",
"telephone_number": "224-610-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBE",
"first_name": "VIVIAN",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051287897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.