Individual provider Active NPI

Malgorzata Margosiak

  • Pharmacist
  • Crestwood, IL
National Provider Identifier
1700590858
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051305322 Issued in IL
Practice address
13501 Cicero Ave
Crestwood, IL 60418-1934
Phone
(708) 396-1280
NPI assigned
Jan 12, 2023
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.305322 IL
Pharmacist 183500000X 051305322 IL Primary

Addresses

Primary practice location

13501 Cicero Ave
Crestwood, IL 60418-1934

Mailing address

13501 Cicero Ave
Crestwood, IL 60418-1934
Phone (708) 396-1280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RXM.04947@STORE.WALGREENS.COM

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
051.305322ILMDPharmacist
051305322ILMDPharmacist

Interoperability endpoints

  • Direct secure messaging: rxm.04947@store.walgreens.com

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1700590858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181934",
            "telephone_number": "708-396-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181934",
            "telephone_number": "708-396-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOSIAK",
        "first_name": "MALGORZATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.305322",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051305322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RXM.04947@STORE.WALGREENS.COM",
            "affiliation": "N",
            "address_1": "13501 Cicero Ave",
            "city": "Crestwood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604181934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.