Individual provider Active NPI

Nicholas Elzinga, PHARMD, RPH

  • Pharmacist
  • Oak Lawn, IL
National Provider Identifier
1508537184
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051304266 Issued in IL
Practice address
9424 S Pulaski Rd
Oak Lawn, IL 60453-1935
Phone
(708) 857-8274
NPI assigned
Sep 23, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051304266 IL Primary

Addresses

Primary practice location

9424 S Pulaski Rd
Oak Lawn, IL 60453-1935

Mailing address

1667 W Olive Ave Apt 2
Chicago, IL 60660-4102
Phone (708) 990-5409

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nelzi00@albertsons.com

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051304266ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Drug Stores LLC PastSince Sep 28, 2021 Accepting new patients
American Drug Stores LLC PastSince Sep 28, 2021 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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1508537184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 W OLIVE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604102",
            "telephone_number": "708-990-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531935",
            "telephone_number": "708-857-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZINGA",
        "first_name": "NICHOLAS",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051304266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nelzi00@albertsons.com",
            "affiliation": "N",
            "endpointDescription": "Work E-mail",
            "address_1": "9424 S Pulaski Rd",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604531935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.