Individual provider Active NPI

Melissa Badowski, PHARMD

  • Pharmacotherapy Pharmacist
  • Chicago, IL
National Provider Identifier
1578822987
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
051291217 Issued in IL
Practice address
1940 W Taylor St
Room 312
Chicago, IL 60612-7351
Phone
(312) 413-0109
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 051291217 IL Primary
Pharmacotherapy Pharmacist 1835P1200X 18097 MD

Addresses

Primary practice location

1940 W Taylor St
Room 312
Chicago, IL 60612-7351

Mailing address

6613 W 63Rd St
Chicago, IL 60638-4105

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
051291217ILMDPharmacotherapy Pharmacist
18097MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1578822987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W TAYLOR ST",
            "address_2": "ROOM 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127351",
            "telephone_number": "312-413-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADOWSKI",
        "first_name": "MELISSA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": "051291217",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "18097",
            "primary": false
        }
    ],
    "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 7, 2012; 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.