Individual provider Active NPI

Sean Tragesser, PHARM.D.

  • Pharmacist
  • Woodridge, IL
National Provider Identifier
1699317552
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051293222 Issued in IL
Practice address
10210 Werch Dr Ste 202
Woodridge, IL 60517-4814
Phone
(630) 478-8240
Fax
(630) 333-9771
NPI assigned
Oct 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051293222 IL Primary

Addresses

Primary practice location

10210 Werch Dr Ste 202
Woodridge, IL 60517-4814

Mailing address

2119 Templar Dr
Naperville, IL 60565-2209
Phone (630) 673-7874

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
051293222ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1699317552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 TEMPLAR DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652209",
            "telephone_number": "630-673-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 WERCH DR STE 202",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174814",
            "telephone_number": "630-478-8240",
            "fax_number": "630-333-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAGESSER",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051293222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.