Jasmine Thomas, PHARMD
Individual provider Active NPI Pharmacist · Fox River Grove, IL
NPI 1427359702 · NPPES record last updated Nov 3, 2010
Key facts
- NPI
- 1427359702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051291732 (IL)
- Practice address
- 800 Northwest Hwy
Fox River Grove, IL 60021-1208 - Phone
- (847) 516-8476
- NPI assigned
- Nov 3, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051291732 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051291732 | IL | Yes |
Addresses
Primary practice location
800 Northwest Hwy
Fox River Grove, IL 60021-1208
Mailing address
1502 Benson St
Bronx, NY 10461-3102
Phone (847) 977-5435
Other providers in Fox River Grove, IL
- Staicu Cardiology S.C.
- Irina Staicu
- Margaret B Stefani
- Steven P. Kipferl D.P.M. P.C.
- Sneha Tharwani
- Tri-County Podiatry Associates LTD
- Sylvia Tutaj
- Ultra Care Inc
- Veronica Vargas
- Carley Venvertloh
All providers in Fox River Grove, IL · Pharmacist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2010. 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.