Active NPI
Marc E Allgood, PHARM D.
- Pharmacist
- Franklin Park, IL
National Provider Identifier
1477764355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51290088
- Practice address
- 3030 Cullerton St
Franklin Park, IL 60131-2205 - Phone
- (847) 916-4713
- Fax
- (847) 916-4806
- NPI assigned
- May 24, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51290088 | IL | Primary |
| Pharmacist | 183500000X | 18555 | IA | |
| Pharmacist | 183500000X | 10693 | NE |
Addresses
Primary practice location
3030 Cullerton St
Franklin Park, IL 60131-2205
Mailing address
22362 Long Grove Rd
Deer Park, IL 60010-3737
Phone (847) 438-3110
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 |
|---|---|---|---|
| 18555 | IA | MD | Pharmacist |
| 51290088 | IL | MD | Pharmacist |
| 10693 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477764355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22362 LONG GROVE RD",
"city": "DEER PARK",
"state": "IL",
"postal_code": "600103737",
"telephone_number": "847-438-3110",
"fax_number": "847-916-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CULLERTON ST",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "601312205",
"telephone_number": "847-916-4713",
"fax_number": "847-916-4806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLGOOD",
"first_name": "MARC",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "51290088",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18555",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "10693",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.