Active NPI
Mark McCarthy
- Pharmacist
- Crestwood, IL
National Provider Identifier
1720351752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.294924
- Practice address
- 13501 Cicero Ave
Crestwood, IL 60445-1934 - Phone
- (708) 396-1280
- NPI assigned
- Feb 22, 2012
- Last updated
- Feb 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.294924 | IL | Primary |
Addresses
Primary practice location
13501 Cicero Ave
Crestwood, IL 60445-1934
Mailing address
13501 Cicero Ave
Crestwood, IL 60445-1934
Phone (708) 396-1280
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.294924 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1720351752",
"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": "604451934",
"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": "604451934",
"telephone_number": "708-396-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.294924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestwood, IL
- Marathon Health, LLC (UWC- Crestwood)
- Marathon Health, LLC (Uwc- Crestwood)
- Adelaida Maravillas, LCSW
- Walter John Marbach, MD
- Malgorzata Margosiak
- Amy Jean McGinnis, M.ED.
- Patricia McGoldrick
- Ashley Lauren McGowan, SLP
- Medication Management Partners (Medication Management Partners, LLC)
- Richard Melton, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.