Marc Allen Gaines

Primary specialty

PharmacistTaxonomy code 183500000X

License

51-29001 Issued in IL

Practice address

1165 County Line Rd
Highland Park, IL 60035-4501

Phone

(847) 433-5514

NPI assigned

Aug 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1649550229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 COUNTY LINE RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354501",
            "telephone_number": "847-433-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 COUNTY LINE RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354501",
            "telephone_number": "847-433-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "MARC",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51-29001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Chicagoland, LLC
• Fresenius Medical Care of Illinois, LLC
• Bradley Friel, D.C.
• Janet R. Fryer, L.C.P.C.
• Ashley Ann Futterman, LMT
• Paige Ganske, DO
• Taryn Garber
• Bonnie Schwartz Garfield, PH D
• Jeffrey Scott Garland, M.D.
• Michelle Carly Garrett, APN-CNP

• Pharmacist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.