Active NPI
Jigisha Shah
- Pharmacist
- Lake in the Hills, IL
National Provider Identifier
1689278368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051292430
- Practice address
- 4511 W Algonquin Rd
Lake in the Hills, IL 60156-3502 - Phone
- (847) 669-3852
- Fax
- (847) 669-3960
- NPI assigned
- Nov 24, 2020
- Last updated
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 051292430 | IL | Primary |
Addresses
Primary practice location
4511 W Algonquin Rd
Lake in the Hills, IL 60156-3502
Mailing address
875 Forest Glen CT
Bartlett, IL 60103-4448
Phone (224) 381-4810
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 |
|---|---|---|---|
| 051292430 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1689278368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 FOREST GLEN CT",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601034448",
"telephone_number": "224-381-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 W ALGONQUIN RD",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601563502",
"telephone_number": "847-669-3852",
"fax_number": "847-669-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JIGISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051292430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.