Individual provider Active NPI

Haniff Joma Pollard, PHARMD

  • Pharmacist
  • Wilmette, IL
National Provider Identifier
1780207290
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051299824 Issued in IL
Practice address
411 Green Bay Rd
Wilmette, IL 60091-2725
Phone
(847) 853-8001
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051299824 IL Primary

Addresses

Primary practice location

411 Green Bay Rd
Wilmette, IL 60091-2725

Mailing address

411 Green Bay Rd
Wilmette, IL 60091-2725
Phone (847) 853-8001

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

LicenseStateTypeSpecialty
051299824ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince May 1, 2020 Accepting new patients
American Drug Stores LLC PastSince Feb 19, 2023 Accepting new patients
American Drug Stores LLC PastSince Feb 19, 2023 Accepting new patients
Walgreen Co PastSince May 1, 2020 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1780207290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 GREEN BAY RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912725",
            "telephone_number": "847-853-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 GREEN BAY RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912725",
            "telephone_number": "847-853-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOMA POLLARD",
        "first_name": "HANIFF",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051299824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; 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.