Active NPI
Sami Malovski
- Pharmacist
- Momence, IL
National Provider Identifier
1457073256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051305046
- Practice address
- 2764 N State Route 1 17
Momence, IL 60954-3913 - Phone
- (815) 472-3223
- NPI assigned
- Sep 19, 2022
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051305046 | IL | Primary |
Addresses
Primary practice location
2764 N State Route 1 17
Momence, IL 60954-3913
Mailing address
2764 N State Route 1 17
Momence, IL 60954-3913
Phone (815) 472-3223
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051305046 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past | Accepting new patients | |
| Healthchek LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Momence, IL
- NPI 1063598068
-
- Point of Service
- Schererville, IN
- NPI 1265446611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1457073256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 N STATE ROUTE 1 17",
"city": "MOMENCE",
"state": "IL",
"postal_code": "609543913",
"telephone_number": "815-472-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2764 N STATE ROUTE 1 17",
"city": "MOMENCE",
"state": "IL",
"postal_code": "609543913",
"telephone_number": "815-472-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOVSKI",
"first_name": "SAMI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051305046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Momence, IL
- Highland Park CVS, L.L.C.
- Rachel Kimberlin, CCC-SLP
- Landmark of Momence Rehabilitation and Nursing Center LLC
- Zoe Luedtke
- Jessica Macias, EDS, MA
- Angelina C Mendez, LMT, DONA, CLE, LM
- Momence Community Unit School District #1
- Momence District #1
- Momence Meadows Nursing & Rehabilitation Center
- Momence Meadows Nursing and Rehabilitation Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.