Active NPI
Jennifer R. Mucksavage, PHARM.D.
- Pharmacotherapy Pharmacist
- Hines, IL
National Provider Identifier
1457376519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 051.287764
- Practice address
- 5TH Avenue and Roosevelt Road
Building 200, M/C 119K
Hines, IL 60141 - Phone
- (708) 202-7238
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 051.287764 | IL | Primary |
Addresses
Primary practice location
5TH Avenue and Roosevelt Road
Building 200, M/C 119K
Hines, IL 60141
Mailing address
9831 S 54TH Ave
Oak Lawn, IL 60453-2923
Phone (708) 202-8387
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 |
|---|---|---|---|
| 051.287764 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1457376519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9831 S 54TH AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532923",
"telephone_number": "708-202-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5TH AVENUE AND ROOSEVELT ROAD",
"address_2": "BUILDING 200, M/C 119K",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-202-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUCKSAVAGE",
"first_name": "JENNIFER",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051.287764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.