Active NPI
Gina Conde, PHARM.D.
- Pharmacist
- Rockford, IL
National Provider Identifier
1740526508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.296149
- Practice address
- 5690 E State St
Rockford, IL 61108-2425 - Phone
- (815) 395-1828
- NPI assigned
- Dec 26, 2012
- Last updated
- Dec 26, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 051.296149 | IL | Primary |
Addresses
Primary practice location
5690 E State St
Rockford, IL 61108-2425
Mailing address
3300 Plum Grove Dr
Rolling Meadows, IL 60008-3244
Phone (773) 844-2307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051.296149 | Other | IL | STATE OF ILLINOIS PHARMACIST LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.296149 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1740526508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 PLUM GROVE DR",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600083244",
"telephone_number": "773-844-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5690 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082425",
"telephone_number": "815-395-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDE",
"first_name": "GINA",
"name_prefix": "Mrs.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.296149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS PHARMACIST LICENSE NUMBER",
"identifier": "051.296149",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.