Individual provider Active NPI

Bedrija Nikocevic, PHARMD

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1497904544
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051292742 Issued in IL
Practice address
6009 N Broadway St
Chicago, IL 60660-2500
Phone
(773) 769-1259
NPI assigned
Sep 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051292742 IL Primary

Addresses

Primary practice location

6009 N Broadway St
Chicago, IL 60660-2500

Mailing address

6009 N Broadway St
Chicago, IL 60660-2500
Phone (773) 769-1259

Other names 1

  • Dr. Bedrija Isic Former name

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
051292742ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1497904544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602500",
            "telephone_number": "773-769-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602500",
            "telephone_number": "773-769-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOCEVIC",
        "first_name": "BEDRIJA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-13",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEDRIJA",
            "last_name": "ISIC",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 24, 2013; 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.