Individual provider Active NPI

Georgia Christopoulos, PHARMACIST

  • Pharmacist
  • Northfield, IL
National Provider Identifier
1669772240
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051030926 Issued in IL
Practice address
1822 Willow Rd
Northfield, IL 60093-2926
Phone
(847) 446-4102
Fax
(847) 446-4610
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051030926 IL Primary

Addresses

Primary practice location

1822 Willow Rd
Northfield, IL 60093-2926

Mailing address

1822 Willow Rd
Northfield, IL 60093-2926
Phone (847) 446-4102

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

LicenseStateTypeSpecialty
051030926ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1669772240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 WILLOW RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932926",
            "telephone_number": "847-446-4102",
            "fax_number": "847-446-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 WILLOW RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932926",
            "telephone_number": "847-446-4102",
            "fax_number": "847-446-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPOULOS",
        "first_name": "GEORGIA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051030926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.