Roberto Carlos Colon

Primary specialty

PharmacistTaxonomy code 183500000X

License

051303524 Issued in IL

Practice address

3943 W 47TH St
Chicago, IL 60632-4145

Phone

(773) 927-0523

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McKinley Pharmacy LLC

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1902760754
  NPD Authorized official
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1639840044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 S SAINT LOUIS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323528",
            "telephone_number": "312-774-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324145",
            "telephone_number": "773-927-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ROBERTO",
        "middle_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "walgreens.com",
            "affiliation": "N",
            "address_1": "3943 W 47th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606324145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Colon Quintana, MA
• Alina M Colon, MMS, PA-C
• Carmen Colon, CFO
• Jose Colon, MSW
• Nicole Colon, LCSW
• Colorado Senior Podiatry Services, PC
• Donna S Colorato
• Colorful Minds ABA PLLC
• Breanna Lynn Colorina, FNP-C
• Anne Coltman, MS, RD, CNSCN

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.