Individual provider Active NPI

Carmela Bojovic, PHARMD

  • Pharmacist
  • Franklin Park, IL
National Provider Identifier
1689954166
Registry record updated Aug 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051290090 Issued in IL
Practice address
9595 Grand Ave
Franklin Park, IL 60131-3305
Phone
(847) 455-6876
NPI assigned
Aug 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 051290090 IL Primary

Addresses

Primary practice location

9595 Grand Ave
Franklin Park, IL 60131-3305

Mailing address

9595 Grand Ave
Franklin Park, IL 60131-3305

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
051290090ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314489600000",
    "number": "1689954166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9595 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601313305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 GRAND AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601313305",
            "telephone_number": "847-455-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJOVIC",
        "first_name": "CARMELA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-28",
        "last_updated": "2011-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051290090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

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