Active NPI
Madhuri Mehta Vitha, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1205117686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.290791
- Practice address
- 2301 W Irving Park Rd
Chicago, IL 60618-3823 - Phone
- (847) 267-8410
- Fax
- (847) 267-8563
- NPI assigned
- Aug 30, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.290791 | IL | Primary |
Addresses
Primary practice location
2301 W Irving Park Rd
Chicago, IL 60618-3823
Mailing address
2301 W Irving Park Rd
Chicago, IL 60618-3823
Phone (773) 267-8410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362127039411 | Medicaid | IL |
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 |
|---|---|---|---|
| 051.290791 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1205117686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183823",
"telephone_number": "773-267-8410",
"fax_number": "773-267-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183823",
"telephone_number": "847-267-8410",
"fax_number": "847-267-8563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITHA",
"first_name": "MADHURI",
"middle_name": "MEHTA",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.290791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362127039411",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.