Individual provider Active NPI

Marina Feferman, PHARM D

  • Pharmacist
  • Wheeling, IL
National Provider Identifier
1346461001
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051290285 Issued in IL
Practice address
307 S Milwaukee Ave Ste 109
Wheeling, IL 60090-5035
Phone
(847) 229-5477
Fax
(847) 229-8448
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051290285 IL Primary

Addresses

Primary practice location

307 S Milwaukee Ave Ste 109
Wheeling, IL 60090-5035

Mailing address

307 S Milwaukee Ave Ste 109
Wheeling, IL 60090-5035
Phone (847) 229-5477

Other practice location 1

1150 W Maple
Mundelein, IL 60060
Phone (847) 566-7021

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051290285ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Desna Pharmacy, Inc. Current Accepting new patients
Austin Pharmacy Inc Past Accepting new patients

Locations

307 S Milwaukee Ave
Ste 109
Wheeling, IL 60090
Phone (847) 229-5477

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1346461001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S MILWAUKEE AVE STE 109",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905035",
            "telephone_number": "847-229-5477",
            "fax_number": "847-229-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MILWAUKEE AVE STE 109",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905035",
            "telephone_number": "847-229-5477",
            "fax_number": "847-229-8448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 W Maple",
            "address_purpose": "LOCATION",
            "city": "Mundelein",
            "state": "IL",
            "postal_code": "60060",
            "country_code": "US",
            "telephone_number": "847-566-7021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEFERMAN",
        "first_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051290285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.