Active NPI
Marissa Langefeld, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1508141276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.291417
- Practice address
- 1520 W Fullerton Ave
Chicago, IL 60614-2023 - Phone
- (773) 929-6968
- NPI assigned
- Oct 13, 2011
- Last updated
- Oct 13, 2011
- Sex
- Female
- 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 | 051.291417 | IL | Primary |
Addresses
Primary practice location
1520 W Fullerton Ave
Chicago, IL 60614-2023
Mailing address
4129 N Kenmore Ave Apt 2S
Chicago, IL 60613-5492
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 |
|---|---|---|---|
| 051.291417 | 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": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1508141276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4129 N KENMORE AVE APT 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606135492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142023",
"telephone_number": "773-929-6968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGEFELD",
"first_name": "MARISSA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.291417",
"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 Oct 13, 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.