Active NPI
Richard W Jaros, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lisle, IL
National Provider Identifier
1457634206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 051.287570
- Practice address
- 1010 Maple Ave
Lisle, IL 60532-2329 - Phone
- (630) 353-0252
- Fax
- (630) 512-0409
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051.287570 | IL | Primary |
Addresses
Primary practice location
1010 Maple Ave
Lisle, IL 60532-2329
Mailing address
12994 Fairway Drive
Lemont, IL 60439
Phone (630) 353-0252
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.287570 | IL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1457634206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12994 FAIRWAY DRIVE",
"city": "LEMONT",
"state": "IL",
"postal_code": "60439",
"telephone_number": "630-353-0252",
"fax_number": "630-512-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 MAPLE AVE",
"city": "LISLE",
"state": "IL",
"postal_code": "605322329",
"telephone_number": "630-353-0252",
"fax_number": "630-512-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAROS",
"first_name": "RICHARD",
"middle_name": "W",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IL",
"license": "051.287570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.