Active NPI
Lauren M Mollette, BS
- Pharmacist
- Forest Park, IL
National Provider Identifier
1487936431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051036249
- Practice address
- 7200 Roosevelt Rd
Forest Park, IL 60130-2441 - Phone
- (708) 366-9534
- NPI assigned
- Sep 15, 2011
- Last updated
- Sep 15, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051036249 | IL | Primary |
Addresses
Primary practice location
7200 Roosevelt Rd
Forest Park, IL 60130-2441
Mailing address
7200 Roosevelt Rd
Forest Park, IL 60130-2441
Phone (708) 366-9534
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051036249 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1487936431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 ROOSEVELT RD",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601302441",
"telephone_number": "708-366-9534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 ROOSEVELT RD",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601302441",
"telephone_number": "708-366-9534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLETTE",
"first_name": "LAUREN",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051036249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.