Active NPI
Craig Roth, RPH
- Pharmacist
- Skokie, IL
National Provider Identifier
1508048877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10401
- Practice address
- 8001 Lincoln Ave
Suite 800
Skokie, IL 60077-3695 - Phone
- (847) 588-7170
- NPI assigned
- Nov 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10401 | MD | Primary |
Addresses
Primary practice location
8001 Lincoln Ave
Suite 800
Skokie, IL 60077-3695
Mailing address
2311 Parker Ave
Silver Spring, MD 20902-1934
Phone (443) 745-1499
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10401 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1508048877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 PARKER AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021934",
"telephone_number": "443-745-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 LINCOLN AVE",
"address_2": "SUITE 800",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773695",
"telephone_number": "847-588-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "CRAIG",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "10401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.