Active NPI
Mohammad Jeafar, RPH
- Pharmacist
- Chicago, IL
National Provider Identifier
1801661236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.305993
- Practice address
- 1930 W 103Rd St
Chicago, IL 60643-2625 - Phone
- (773) 239-8041
- NPI assigned
- Nov 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 051.305993 | IL | Primary |
Addresses
Primary practice location
1930 W 103Rd St
Chicago, IL 60643-2625
Mailing address
360 E South Water St Apt 4711
Chicago, IL 60601-4158
Phone (313) 674-0214
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 |
|---|---|---|---|
| 051.305993 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Park CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1700006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1801661236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 E SOUTH WATER ST APT 4711",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606014158",
"telephone_number": "313-674-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 W 103RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606432625",
"telephone_number": "773-239-8041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAFAR",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.305993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.