Organization Active NPI

Target

  • Pharmacy Technician
  • Evanston, IL
National Provider Identifier
1730579350
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
049217818 Issued in IL
Legal business name
TARGET
Practice address
2209 Howard St
Evanston, IL 60202-3636
Phone
(847) 733-1166
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Mr. Jacob Kim
Title
Head Pharmacist
Phone
(847) 733-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 183700000X 049217818 IL Primary

Addresses

Primary practice location

2209 Howard St
Evanston, IL 60202-3636

Mailing address

2209 Howard St
Evanston, IL 60202-3636
Phone (847) 733-1166

National Provider Directory

National Provider Directory

Locations

2209 Howard St
Evanston, IL 60202
Phone (847) 733-1144

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1730579350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023636",
            "telephone_number": "847-733-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023636",
            "telephone_number": "847-733-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "HEAD PHARMACIST",
        "authorized_official_telephone_number": "847-733-1166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "IL",
            "license": "049217818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.