Active NPI
Brian Strobel
- Pharmacist
- Chicago, IL
National Provider Identifier
1225638471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051295573
- Practice address
- 7535 S Ashland Ave
Chicago, IL 60620-4246 - Phone
- (773) 420-0290
- NPI assigned
- Oct 27, 2020
- Last updated
- Oct 27, 2020
- Sex
- Male
- 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 | 051295573 | IL | Primary |
Addresses
Primary practice location
7535 S Ashland Ave
Chicago, IL 60620-4246
Mailing address
7535 S Ashland Ave
Chicago, IL 60620-4246
Phone (773) 420-0290
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | b0s01cu.s03110.us@wal-mart.com | Direct |
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 |
|---|---|---|---|
| 051295573 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Interoperability endpoints
- b0s01cu.s03110.us@wal-mart.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1225638471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7535 S ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606204246",
"telephone_number": "773-420-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 S ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606204246",
"telephone_number": "773-420-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROBEL",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051295573",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "b0s01cu.s03110.us@wal-mart.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7535 S Ashland Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606204246",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 27, 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.