Individual provider Active NPI

Melvin Miguel, PHARMD

  • Pharmacist
  • Aurora, IL
National Provider Identifier
1457708232
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.298880 Issued in IL
Practice address
1157 N Eola Rd
Aurora, IL 60502-7006
Phone
(630) 851-4657
NPI assigned
May 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.298880 IL Primary

Addresses

Primary practice location

1157 N Eola Rd
Aurora, IL 60502-7006

Mailing address

177 E Roosevelt Rd
West Chicago, IL 60185-3966
Phone (630) 293-5360

Other practice location 1

177 E Roosevelt Rd
West Chicago, IL 60185-3966
Phone (630) 293-5360

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

LicenseStateTypeSpecialty
051.298880ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Drug Stores LLC Past Accepting new patients
American Drug Stores LLC PastSince Sep 20, 2020 Accepting new patients
American Drug Stores LLC PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1457708232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 E ROOSEVELT RD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853966",
            "telephone_number": "630-293-5360",
            "fax_number": "630-293-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 N EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027006",
            "telephone_number": "630-851-4657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 E Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "West Chicago",
            "state": "IL",
            "postal_code": "601853966",
            "country_code": "US",
            "telephone_number": "630-293-5360",
            "fax_number": "630-293-5380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGUEL",
        "first_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.298880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.