Individual provider Active NPI

Carlo Frank Gaglio, PHARMD

  • Pharmacist
  • Des Plaines, IL
National Provider Identifier
1548548522
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.038924 Issued in IL
Practice address
2313 S Mount Prospect Rd
Des Plaines, IL 60018-1811
Phone
(847) 635-3000
Fax
(847) 635-8076
NPI assigned
Jul 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.038924 IL Primary
Geriatric Pharmacist 1835G0303X 051.038924 IL

Addresses

Primary practice location

2313 S Mount Prospect Rd
Des Plaines, IL 60018-1811

Mailing address

1534 Heather LN
Des Plaines, IL 60018-1400
Phone (847) 390-1055

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
051.038924ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1548548522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 HEATHER LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181400",
            "telephone_number": "847-390-1055",
            "fax_number": "847-635-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 S MOUNT PROSPECT RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181811",
            "telephone_number": "847-635-3000",
            "fax_number": "847-635-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIO",
        "first_name": "CARLO",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.038924",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "IL",
            "license": "051.038924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.