Active NPI
Robert Joseph Anselmo, R.PH.
- Pharmacotherapy Pharmacist
- Chicago, IL
National Provider Identifier
1295788396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 051033758
- Practice address
- 5943 W Montrose Ave
Chicago, IL 60634-1629 - Phone
- (847) 508-3197
- Fax
- (716) 558-1765
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 051033758 | IL | Primary |
Addresses
Primary practice location
5943 W Montrose Ave
Chicago, IL 60634-1629
Mailing address
5943 W Montrose Ave
Chicago, IL 60634-1629
Phone (847) 508-3197
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051033758 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1295788396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5943 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606341629",
"telephone_number": "847-508-3197",
"fax_number": "716-558-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5943 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606341629",
"telephone_number": "847-508-3197",
"fax_number": "716-558-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSELMO",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051033758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.