Active NPI
Gregory Primuth, RPH
- Pharmacist
- Chicago, IL
National Provider Identifier
1427760875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.288249
- Practice address
- 100 W Randolph St Ste 101
Chicago, IL 60601-3377 - Phone
- (404) 664-6620
- NPI assigned
- Dec 16, 2022
- 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 | 051.288249 | IL | Primary |
Addresses
Primary practice location
100 W Randolph St Ste 101
Chicago, IL 60601-3377
Mailing address
910 S Michigan Ave Apt 512
Chicago, IL 60605-2268
Phone (404) 664-6620
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | walgreens |
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 |
|---|---|---|---|
| 051.288249 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1427760875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S MICHIGAN AVE APT 512",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052268",
"telephone_number": "404-664-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W RANDOLPH ST STE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013377",
"telephone_number": "404-664-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIMUTH",
"first_name": "GREGORY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-16",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.288249",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "walgreens",
"affiliation": "N",
"address_1": "100 W Randolph St Ste 101",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606013377",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.