Active NPI
Loai Hishmeh
- Pharmacist
- Mokena, IL
National Provider Identifier
1639774045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051299065
- Practice address
- 19900 S la Grange Rd
Mokena, IL 60448-8674 - Phone
- (708) 478-1821
- NPI assigned
- Dec 2, 2020
- 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 | 051299065 | IL | Primary |
Addresses
Primary practice location
19900 S la Grange Rd
Mokena, IL 60448-8674
Mailing address
8926 W 170TH St
Orland Hills, IL 60487-7211
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051299065 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Current | Accepting new patients |
Locations
19900 S La Grange Rd
Mokena, IL 60448
Phone (708) 478-1821
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": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1639774045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8926 W 170TH ST",
"city": "ORLAND HILLS",
"state": "IL",
"postal_code": "604877211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19900 S LA GRANGE RD",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488674",
"telephone_number": "708-478-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISHMEH",
"first_name": "LOAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051299065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.