Active NPI
Arun Mathew, PHARMD
- Pharmacist
- North Chicago, IL
National Provider Identifier
1588405658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051294094
- Practice address
- 1 N Waukegan Rd, Ap5 NE
North Chicago, IL 60064 - Phone
- (888) 857-0668
- NPI assigned
- Jun 3, 2024
- Last updated
- Jun 3, 2024
- 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 | 051294094 | IL | Primary |
Addresses
Primary practice location
1 N Waukegan Rd, Ap5 NE
North Chicago, IL 60064
Mailing address
1 N. Waukegan Rd, Ap5 NE
North Chicago, IL 60064
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 |
|---|---|---|---|
| 051294094 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbvie Endocrinology Inc | Past | Accepting new patients | |
| Abbvie Endocrinology Inc. | 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, 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": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1588405658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N. WAUKEGAN RD, AP5 NE",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "60064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N WAUKEGAN RD, AP5 NE",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "60064",
"telephone_number": "888-857-0668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ARUN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051294094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.