Active NPI
Lerin Chanda Becton-Wooten, PHARM.D
- Pharmacist
- Chicago, IL
National Provider Identifier
1497036453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051289155
- Practice address
- 1554 E 55TH St
Chicago, IL 60615-5550 - Phone
- (773) 667-1177
- Fax
- (773) 947-0226
- NPI assigned
- Sep 6, 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 | 051289155 | IL | Primary |
Addresses
Primary practice location
1554 E 55TH St
Chicago, IL 60615-5550
Mailing address
4631 S Indiana Ave
Unit #1N
Chicago, IL 60653-3922
Phone (708) 769-5226
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 |
|---|---|---|---|
| 051289155 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1497036453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 S INDIANA AVE",
"address_2": "UNIT #1N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606533922",
"telephone_number": "708-769-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 E 55TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606155550",
"telephone_number": "773-667-1177",
"fax_number": "773-947-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECTON-WOOTEN",
"first_name": "LERIN",
"middle_name": "CHANDA",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051289155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.