Active NPI
Sanford Ian Silver, RPH
- Pharmacist
- Highland Park, IL
National Provider Identifier
1760769459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051030296
- Practice address
- 632 Roger Williams Ave
Highland Park, IL 60035-4824 - Phone
- (847) 432-8170
- NPI assigned
- Nov 8, 2011
- Last updated
- Nov 8, 2011
- 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 | 051030296 | IL | Primary |
Addresses
Primary practice location
632 Roger Williams Ave
Highland Park, IL 60035-4824
Mailing address
812 Dannet Rd
Buffalo Grove, IL 60089-1116
Phone (847) 634-1392
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051030296 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1760769459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 DANNET RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891116",
"telephone_number": "847-634-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 ROGER WILLIAMS AVE",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600354824",
"telephone_number": "847-432-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVER",
"first_name": "SANFORD",
"middle_name": "IAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051030296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.