Active NPI
Linda Louise Scarnavack
- Pharmacist
- Crestwood, IL
National Provider Identifier
1205436862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.287039
- Practice address
- 4700 135TH St
Crestwood, IL 60418-1405 - Phone
- (708) 489-6471
- Fax
- (708) 489-6898
- NPI assigned
- Oct 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 051.287039 | IL | Primary |
Addresses
Primary practice location
4700 135TH St
Crestwood, IL 60418-1405
Mailing address
10021 Lancaster Dr
Mokena, IL 60448-7831
Phone (708) 307-4573
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.287039 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604102400000",
"number": "1205436862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10021 LANCASTER DR",
"city": "MOKENA",
"state": "IL",
"postal_code": "604487831",
"telephone_number": "708-307-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 135TH ST",
"city": "CRESTWOOD",
"state": "IL",
"postal_code": "604181405",
"telephone_number": "708-489-6471",
"fax_number": "708-489-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARNAVACK",
"first_name": "LINDA",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-31",
"last_updated": "2020-10-31",
"certification_date": "2020-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.287039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.