Active NPI
Jigisha Desai, PHARM D
- Pharmacist
- Lake Villa, IL
National Provider Identifier
1619303856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051288820
- Practice address
- 36510 Sagebrush CT
Lake Villa, IL 60046-6791 - Phone
- (815) 759-4400
- Fax
- (815) 759-8090
- NPI assigned
- Sep 19, 2013
- Last updated
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 051288820 | IL | Primary |
Addresses
Primary practice location
36510 Sagebrush CT
Lake Villa, IL 60046-6791
Mailing address
36510 Sagebrush CT
Lake Villa, IL 60046-6791
Phone (815) 759-4400
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 |
|---|---|---|---|
| 051288820 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1619303856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36510 SAGEBRUSH CT",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600466791",
"telephone_number": "815-759-4400",
"fax_number": "815-759-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36510 SAGEBRUSH CT",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600466791",
"telephone_number": "815-759-4400",
"fax_number": "815-759-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "JIGISHA",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051288820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Villa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.