Active NPI
Reginald James McCoy Jr., CPHT, MBA, MPA.
- Pharmacy Technician
- Melrose Park, IL
National Provider Identifier
1447547732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 049-140059
- Practice address
- 1101 W North Ave
Melrose Park, IL 60160-1526 - Phone
- (708) 731-4400
- NPI assigned
- Jul 7, 2011
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 049-140059 | IL | Primary |
Addresses
Primary practice location
1101 W North Ave
Melrose Park, IL 60160-1526
Mailing address
1101 W North Ave
Melrose Park, IL 60160-1526
Phone (708) 731-4400
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
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049-140059 | IL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1447547732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W NORTH AVE",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601526",
"telephone_number": "708-731-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W NORTH AVE",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601526",
"telephone_number": "708-731-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "REGINALD",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CPHT, MBA, MPA.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IL",
"license": "049-140059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.