Active NPI
Sam Rasty, PHARM.D., MPH
- Pharmacotherapy Pharmacist
- Buffalo Grove, IL
National Provider Identifier
1447336722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 051288543
- Practice address
- 870 Belmar LN
Buffalo Grove, IL 60089-1350 - Phone
- (847) 465-0127
- Fax
- (847) 520-9937
- NPI assigned
- Oct 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 051288543 | IL | Primary |
Addresses
Primary practice location
870 Belmar LN
Buffalo Grove, IL 60089-1350
Mailing address
870 Belmar LN
Buffalo Grove, IL 60089-1350
Phone (847) 465-0127
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051288543 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1447336722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 BELMAR LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891350",
"telephone_number": "847-465-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 BELMAR LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891350",
"telephone_number": "847-465-0127",
"fax_number": "847-520-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASTY",
"first_name": "SAM",
"name_prefix": "Dr.",
"credential": "PHARM.D., MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051288543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.