Active NPI
Lissette M Alvarado Garcia, PHARMD
- Pharmacist
- Cicero, IL
National Provider Identifier
1609480904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051303265
- Practice address
- 5524 W Cermak Rd
Cicero, IL 60804-2217 - Phone
- (708) 656-0306
- NPI assigned
- Sep 3, 2020
- Last updated
- May 29, 2023
- Sex
- Female
- 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 | 051303265 | IL | Primary |
Addresses
Primary practice location
5524 W Cermak Rd
Cicero, IL 60804-2217
Mailing address
5524 W Cermak Rd
Cicero, IL 60804-2217
Phone (708) 656-0306
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 |
|---|---|---|---|
| 051303265 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS LLC | 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, 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": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1609480904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5524 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042217",
"telephone_number": "708-656-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5524 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042217",
"telephone_number": "708-656-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO GARCIA",
"first_name": "LISSETTE",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051303265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, IL
- Alivio Medical Center, Inc. (Alivio Medical Center Cicero)
- All Family Foot and Ankle LTD (All Family Foot and Ankle Center)
- Kathleen Louise Allen, LCPC
- Mohammad Alomari, DDS
- Dina Alqawasma, DMD
- Gaspar Alvarez
- Victor Alvarez Sr., M.A.
- America's Best Contacts & Eyeglasses
- Sharron Anderson
- Amalia Andrade, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.