Active NPI
Melissa Banas, PHARMD
- Pharmacist
- Northbrook, IL
National Provider Identifier
1497359442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051298906
- Practice address
- 3780 Willow Rd
Northbrook, IL 60062-6146 - Phone
- (847) 326-1201
- Fax
- (847) 326-1244
- NPI assigned
- Nov 30, 2020
- 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 | 051298906 | IL | Primary |
Addresses
Primary practice location
3780 Willow Rd
Northbrook, IL 60062-6146
Mailing address
310 Wildflower St
Des Plaines, IL 60016-3428
Phone (317) 997-9558
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 |
|---|---|---|---|
| 051298906 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1497359442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 WILDFLOWER ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600163428",
"telephone_number": "317-997-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 WILLOW RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626146",
"telephone_number": "847-326-1201",
"fax_number": "847-326-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANAS",
"first_name": "MELISSA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051298906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.