Michael C Barisch

Primary specialty

PharmacistTaxonomy code 183500000X

License

051-037438 Issued in IL

Practice address

2324 W War Memorial Dr
Peoria, IL 61614

Phone

(309) 685-5209

Fax

(309) 688-5099

NPI assigned

Nov 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1790062834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 W WAR MEMORIAL DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145552",
            "telephone_number": "309-685-5209",
            "fax_number": "309-688-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W WAR MEMORIAL DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61614",
            "telephone_number": "309-685-5209",
            "fax_number": "309-688-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARISCH",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-037438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saurabh Kumar Bansal, MD
• Adam Barber, PHARM.D
• Julie Lynn Barclay, FNP-C
• Marjorie Lee Bard, LMT
• Kelli Barisch
• Lisa T Barker, M.D.
• Patrece Antoinette Barker, D.O., M.S.
• Samar S Barlota, LPC
• Carol Anne Barlow, PHARMD
• Mandy Barlow, APN

• Pharmacist in Peoria, IL
• Providers in Peoria, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.