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
- 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 and National Provider Directory roles.
-
- Pharmacy
- Elgin, IL
- NPI 1184728024
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.