Active NPI
Nicholas Schoenbeck
- Pharmacist
- Park Ridge, IL
National Provider Identifier
1760003834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051302646
- Practice address
- 901 W Touhy Ave
Park Ridge, IL 60068-3230 - Phone
- (847) 384-0125
- NPI assigned
- Apr 30, 2020
- Sex
- Male
- 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 | 051302646 | IL | Primary |
Addresses
Primary practice location
901 W Touhy Ave
Park Ridge, IL 60068-3230
Mailing address
7288 W Palatine Ave
Chicago, IL 60631-1944
Phone (773) 633-0533
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 |
|---|---|---|---|
| 051302646 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1760003834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7288 W PALATINE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606311944",
"telephone_number": "773-633-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W TOUHY AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683230",
"telephone_number": "847-384-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENBECK",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051302646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.