Individual provider Active NPI

Weronika Flis, PHARMD

  • Pharmacist
  • Midlothian, IL
National Provider Identifier
1194125906
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051297784 Issued in IL
Practice address
4800 148TH St
Midlothian, IL 60445-3117
Phone
(708) 687-1604
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
051297784ILMDPharmacist
26025793AINMDPharmacist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051297784 IL Primary
Pharmacist 183500000X 26025793A IN

Addresses

NPPES NPI Registry

Primary practice location

4800 148TH St
Midlothian, IL 60445-3117

Mailing address

14746 Trumbull Ave
Midlothian, IL 60445-3623
Phone (847) 302-8418

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2014.

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1194125906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14746 TRUMBULL AVE",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453623",
            "telephone_number": "847-302-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 148TH ST",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "604453117",
            "telephone_number": "708-687-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIS",
        "first_name": "WERONIKA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051297784",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26025793A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.