Active NPI
Daniel Huisman, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1548643737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051295944
- Practice address
- 9400 S Ashland Ave
Chicago, IL 60620-5121 - Phone
- (773) 779-0017
- NPI assigned
- Jul 7, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 051295944 | IL | Primary |
Addresses
Primary practice location
9400 S Ashland Ave
Chicago, IL 60620-5121
Mailing address
9402 S Ashland Ave
Chicago, IL 60620-5121
Phone (773) 779-0017
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 |
|---|---|---|---|
| 051295944 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past | Accepting new patients | |
| American Drug Stores LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Diamond, IL
- NPI 1013786706
-
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1386682698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1548643737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9402 S ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606205121",
"telephone_number": "773-779-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 S ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606205121",
"telephone_number": "773-779-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUISMAN",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051295944",
"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 May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.