Individual provider Active NPI

Tomzak Saengyothinh

  • Pharmacist
  • South Elgin, IL
National Provider Identifier
1225729270
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051303793 Issued in IL
Practice address
1201 W Spring St
South Elgin, IL 60177-2990
Phone
(847) 695-0556
NPI assigned
May 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051303793 IL Primary

Addresses

Primary practice location

1201 W Spring St
South Elgin, IL 60177-2990

Mailing address

Business Practice Location
Bartlett, IL 60103
Phone (630) 372-3310

Other names 1

  • Tomzake T Saengyothinh Other name

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

LicenseStateTypeSpecialty
051303793ILMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1225729270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUSINESS PRACTICE LOCATION",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "60103",
            "telephone_number": "630-372-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772990",
            "telephone_number": "847-695-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAENGYOTHINH",
        "first_name": "TOMZAK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOMZAKE",
            "last_name": "SAENGYOTHINH",
            "middle_name": "T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.