Individual provider Active NPI

Cheryl Lynn Jezwinski, PHARMD

  • Pharmacist
  • Evanston, IL
National Provider Identifier
1669767448
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.288321 Issued in IL
Practice address
2209 Howard St
Evanston, IL 60202-3636
Phone
(847) 733-1166
Fax
(847) 733-1166
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.288321 IL Primary

Addresses

Primary practice location

2209 Howard St
Evanston, IL 60202-3636

Mailing address

2209 Howard St
Evanston, IL 60202-3636
Phone (847) 733-1166

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

LicenseStateTypeSpecialty
051.288321ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1669767448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023636",
            "telephone_number": "847-733-1166",
            "fax_number": "847-733-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023636",
            "telephone_number": "847-733-1166",
            "fax_number": "847-733-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEZWINSKI",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.288321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.