Active NPI
Lara Dilanjian, PHARM D
- Pharmacist
- Highland Park, IL
National Provider Identifier
1851791032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.297805
- Practice address
- 757 Park Ave W RM 1851
Highland Park, IL 60035-2556 - Phone
- (847) 926-6560
- NPI assigned
- Aug 25, 2014
- Last updated
- Mar 12, 2020
- Sex
- Female
- 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 | 051.297805 | IL | Primary |
Addresses
Primary practice location
757 Park Ave W RM 1851
Highland Park, IL 60035-2556
Mailing address
2100 Pfingsten Rd
Suite B206
Glenview, IL 60026-1301
Phone (847) 657-6894
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 |
|---|---|---|---|
| 051.297805 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Clinical Operations | Past | Accepting new patients | |
| Endeavor Health Clinical Operations | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Endeavor Health Highland Park Hospital
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
-
dba Highland Park Outpatient Pharmacy
- Institutional Pharmacy
- Highland Park, IL
- NPI 1942561469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1851791032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 PFINGSTEN RD",
"address_2": "SUITE B206",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261301",
"telephone_number": "847-657-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 PARK AVE W RM 1851",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352556",
"telephone_number": "847-926-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILANJIAN",
"first_name": "LARA",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.297805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.