Active NPI
Robert Ralph Zimmer, RPH
- Pharmacist
- Elgin, IL
National Provider Identifier
1366110330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.033216
- Practice address
- 1425 N Randall Rd
Elgin, IL 60123-2300 - Phone
- (224) 783-8728
- NPI assigned
- Sep 2, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.033216 | IL | Primary |
Addresses
Primary practice location
1425 N Randall Rd
Elgin, IL 60123-2300
Mailing address
813 Augusta Ave
Elgin, IL 60120-2925
Phone (847) 531-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051.033216 | Other | IL | ILLINOIS STATE PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 051.033216 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1366110330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 AUGUSTA AVE",
"city": "ELGIN",
"state": "IL",
"postal_code": "601202925",
"telephone_number": "847-531-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N RANDALL RD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232300",
"telephone_number": "224-783-8728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "ROBERT",
"middle_name": "RALPH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.033216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS STATE PHARMACIST LICENSE",
"identifier": "051.033216",
"state": "IL"
}
],
"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 Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.