Individual provider Active NPI

Ilir Mihal

  • Pharmacist
  • Mount Prospect, IL
National Provider Identifier
1699361014
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051299018 Issued in IL
Practice address
1002 S Busse Rd
Mt Prospect, IL 60056-4570
Phone
(847) 871-6291
NPI assigned
Dec 19, 2020
Last updated
Dec 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051299018 IL Primary

Addresses

Primary practice location

1002 S Busse Rd
Mt Prospect, IL 60056-4570

Mailing address

1002 S Busse Rd
Mount Prospect, IL 60056-4570
Phone (847) 871-6291

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
051299018ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Park CVS LLC PastSince Dec 27, 2020 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": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1699361014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S BUSSE RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564570",
            "telephone_number": "847-871-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S BUSSE RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600564570",
            "telephone_number": "847-871-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHAL",
        "first_name": "ILIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051299018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.