Active NPI
Heath Randel Jennings, PHARMD
- Pharmacotherapy Pharmacist
- Chicago, IL
National Provider Identifier
1831254713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 051292467
- Practice address
- 5841 S Maryland Ave
Mc0010 Te026
Chicago, IL 60637-1447 - Phone
- (773) 702-5377
- Fax
- (773) 702-6631
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 011558 | KY | |
| Pharmacotherapy Pharmacist | 1835P1200X | 051292467 | IL | Primary |
Addresses
Primary practice location
5841 S Maryland Ave
Mc0010 Te026
Chicago, IL 60637-1447
Mailing address
5841 S Maryland Ave
Mc0010 Te026
Chicago, IL 60637-1447
Phone (773) 702-5377
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051292467 | IL | MD | Pharmacotherapy Pharmacist |
| 011558 | KY | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1831254713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"address_2": "MC0010 TE026",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-702-5377",
"fax_number": "773-702-6631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"address_2": "MC0010 TE026",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371447",
"telephone_number": "773-702-5377",
"fax_number": "773-702-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "HEATH",
"middle_name": "RANDEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "KY",
"license": "011558",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": "051292467",
"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 Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.