Thea Isabel Barba, PHARMD
Individual provider Active NPI Pharmacy · Carol Stream, IL
NPI 1548057367 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1548057367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy 333600000X
- License
- 051306951 (IL)
- Practice address
- 750 W Army Trail Rd
Carol Stream, IL 60188-9297 - Phone
- (708) 837-7808
- NPI assigned
- Apr 23, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051306951 | IL | MD | Pharmacy |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 051306951 | IL | Yes |
Addresses
Primary practice location
750 W Army Trail Rd
Carol Stream, IL 60188-9297
Mailing address
9336 Dunmurry Dr
Orland Park, IL 60462-1141
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.