Individual provider Active NPI

Elena Grigoriou, PHARMD

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1700478062
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051303707 Issued in IL
Practice address
501 W Roosevelt Rd
Chicago, IL 60607-4908
Phone
(312) 492-8559
NPI assigned
Feb 8, 2021
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051303707 IL Primary

Addresses

Primary practice location

501 W Roosevelt Rd
Chicago, IL 60607-4908

Mailing address

501 W Roosevelt Rd
Chicago, IL 60607-4908
Phone (312) 492-8559

Other identifiers 1

IdentifierTypeStateIssuer
051.303707OtherILPHARMD LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgr.04461@store.walgreens.com Direct

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
051303707ILMDPharmacist

Interoperability endpoints

  • Direct secure messaging: mgr.04461@store.walgreens.com

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1700478062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074908",
            "telephone_number": "312-492-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074908",
            "telephone_number": "312-492-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGORIOU",
        "first_name": "ELENA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMD LICENSE",
            "identifier": "051.303707",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgr.04461@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "501 W Roosevelt Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606074908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.