Individual provider Active NPI

Joseph Hegazin, PHARMACIST

  • Pharmacist
  • Lombard, IL
National Provider Identifier
1437675006
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.300540 Issued in IL
Practice address
120 E Fountainview LN Apt 3B
Lombard, IL 60148-5362
Phone
(708) 717-5320
NPI assigned
Aug 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.300540 IL Primary

Addresses

Primary practice location

120 E Fountainview LN Apt 3B
Lombard, IL 60148-5362

Mailing address

3020 Wolf Rd
Westchester, IL 60154-5622
Phone (708) 562-8101

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

State licenses

LicenseStateTypeSpecialty
051.300540ILMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1437675006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WOLF RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545622",
            "telephone_number": "708-562-8101",
            "fax_number": "708-562-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E FOUNTAINVIEW LN APT 3B",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485362",
            "telephone_number": "708-717-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGAZIN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.300540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.