Active NPI
Masa Arifovic
- Pharmacist
- Elgin, IL
National Provider Identifier
1225754807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051303032
- Practice address
- 500 Dundee Ave
Elgin, IL 60120-3819 - Phone
- (847) 695-2398
- NPI assigned
- Oct 17, 2022
- Last updated
- Oct 17, 2022
- 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 | 051303032 | IL | Primary |
Addresses
Primary practice location
500 Dundee Ave
Elgin, IL 60120-3819
Mailing address
4111 N Narragansett Ave Apt 304
Chicago, IL 60634-2583
Phone (630) 400-4574
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 |
|---|---|---|---|
| 051303032 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1225754807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 N NARRAGANSETT AVE APT 304",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342583",
"telephone_number": "630-400-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DUNDEE AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601203819",
"telephone_number": "847-695-2398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIFOVIC",
"first_name": "MASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051303032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.