Individual provider Active NPI

Elliott Saul Rock, PHARMD

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1801492574
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.301250 Issued in IL
Practice address
1460 N Halsted St Ste 101
Chicago, IL 60642-2620
Phone
(312) 929-3009
Fax
(312) 929-3330
NPI assigned
Dec 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.301250 IL Primary

Addresses

Primary practice location

1460 N Halsted St Ste 101
Chicago, IL 60642-2620

Mailing address

1460 N Halsted St Ste 101
Chicago, IL 60642-2620
Phone (312) 929-3009

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
051.301250ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Drugs Inc Current Accepting new patients
Real Drugs Inc Current Accepting new patients

Locations

1460 N Halsted St
Ste 101
Chicago, IL 60642
Phone (312) 624-9397

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1801492574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422620",
            "telephone_number": "312-929-3009",
            "fax_number": "312-929-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HALSTED ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422620",
            "telephone_number": "312-929-3009",
            "fax_number": "312-929-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "ELLIOTT",
        "middle_name": "SAUL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.301250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.