Active NPI
Mercythes Herrera Dost
- Pharmacist
- McHenry, IL
National Provider Identifier
1780960393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051287536
- Practice address
- 3925 W Elm St
McHenry, IL 60050-4361 - Phone
- (815) 363-0722
- Fax
- (815) 363-6020
- NPI assigned
- Oct 26, 2011
- 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 | 051287536 | IL | Primary |
Addresses
Primary practice location
3925 W Elm St
McHenry, IL 60050-4361
Mailing address
170 Ferryville Dr
Lake in the Hills, IL 60156-5867
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 |
|---|---|---|---|
| 051287536 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1780960393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 FERRYVILLE DR",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601565867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 W ELM ST",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600504361",
"telephone_number": "815-363-0722",
"fax_number": "815-363-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOST",
"first_name": "MERCYTHES",
"middle_name": "HERRERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051287536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.