Individual provider Active NPI

Nuha Ghosein

  • Pharmacist
  • Flossmoor, IL
National Provider Identifier
1265037758
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.303107 Issued in IL
Practice address
3200 Flossmoor Rd
Flossmoor, IL 60422-4484
Phone
(708) 798-4625
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.303107 IL Primary

Addresses

Primary practice location

3200 Flossmoor Rd
Flossmoor, IL 60422-4484

Mailing address

13350 Brittany Dr
Orland Park, IL 60462-1316
Phone (708) 638-6675

Other practice location 1

16701 South Harlem Avenue
Tinley Park, IL 60477
Phone (708) 444-4256

Other names 1

  • Nuha Ghosein Professional 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
051.303107ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Park CVS LLC PastSince Dec 6, 2020 Accepting new patients
Highland Park CVS LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1265037758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 BRITTANY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621316",
            "telephone_number": "708-638-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FLOSSMOOR RD",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224484",
            "telephone_number": "708-798-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16701 South Harlem Avenue",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "60477",
            "country_code": "US",
            "telephone_number": "708-444-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSEIN",
        "first_name": "NUHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.303107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NUHA",
            "last_name": "GHOSEIN",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.