Active NPI
Jacqueline J Mai, RPH
- Pharmacist
- Montgomery, IL
National Provider Identifier
1215251194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051037326
- Practice address
- 1900 Douglas Rd
Montgomery, IL 60538-2419 - Phone
- (630) 896-3000
- Fax
- (630) 896-2056
- NPI assigned
- Mar 21, 2010
- 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 | 051037326 | IL | Primary |
Addresses
Primary practice location
1900 Douglas Rd
Montgomery, IL 60538-2419
Mailing address
28W117 87TH St
Naperville, IL 60564-9604
Phone (630) 983-5807
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051037326 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269129600000",
"number": "1215251194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28W117 87TH ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605649604",
"telephone_number": "630-983-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 DOUGLAS RD",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605382419",
"telephone_number": "630-896-3000",
"fax_number": "630-896-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "JACQUELINE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-21",
"last_updated": "2010-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051037326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.