Iris Amparo Pereda, RPH
Individual provider Active NPI Pharmacist · West Chicago, IL
NPI 1417153297 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1417153297
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 177 E Roosevelt Rd
West Chicago, IL 60185-3966 - Phone
- (630) 293-5340
- Fax
- (630) 293-5380
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.287538 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Yes |
Addresses
Primary practice location
177 E Roosevelt Rd
West Chicago, IL 60185-3966
Mailing address
0S711 Robbins St
Winfield, IL 60190-1639
Phone (630) 681-8851
Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.