Individual provider Active NPI

Tina Necasek, R.PH.

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1356563720
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51290990 Issued in IL
Practice address
233 N Michigan Ave
9TH Floor
Chicago, IL 60601-5519
Phone
(312) 424-5084
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03325461 OH
Pharmacist 183500000X 51290990 IL Primary

Addresses

Primary practice location

233 N Michigan Ave
9TH Floor
Chicago, IL 60601-5519

Mailing address

10 E Ontario St
Apartment 1704
Chicago, IL 60611-4763
Phone (614) 361-9545

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

LicenseStateTypeSpecialty
51290990ILMDPharmacist
03325461OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356563720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E ONTARIO ST",
            "address_2": "APARTMENT 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114763",
            "telephone_number": "614-361-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N MICHIGAN AVE",
            "address_2": "9TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015519",
            "telephone_number": "312-424-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECASEK",
        "first_name": "TINA",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03325461",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51290990",
            "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 Jul 8, 2007; 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.