Active NPI
Mary Angeline Valdes Lacson
- Pharmacist
- Rockford, IL
National Provider Identifier
1376469932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.308449
- Practice address
- 1145 N Alpine Rd
Rockford, IL 61107-3613 - Phone
- (815) 398-2443
- NPI assigned
- Jun 27, 2026
- Sex
- Female
- 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 | 051.308449 | IL | Primary |
Addresses
Primary practice location
1145 N Alpine Rd
Rockford, IL 61107-3613
Mailing address
990 Leeward LN
Pingree Grove, IL 60140-2006
Phone (773) 951-1547
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782518400000",
"number": "1376469932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 LEEWARD LN",
"city": "PINGREE GROVE",
"state": "IL",
"postal_code": "601402006",
"telephone_number": "773-951-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 N ALPINE RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073613",
"telephone_number": "815-398-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACSON",
"first_name": "MARY ANGELINE",
"middle_name": "VALDES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-27",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.308449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.