Shobin Chummar Joseph

Primary specialty

PharmacistTaxonomy code 183500000X

License

051301268 Issued in IL

Practice address

744 N Clark St Apt 802
Chicago, IL 60654-7396

Phone

(847) 858-6753

NPI assigned

Mar 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1861028292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 N CLARK ST APT 802",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547396",
            "telephone_number": "847-858-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 N CLARK ST APT 802",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547396",
            "telephone_number": "847-858-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SHOBIN",
        "middle_name": "CHUMMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "1915240",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051301268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayna Merle Joseph, M.D.
• Santhosh Paul Joseph, M.D.
• Schawana Joseph
• Sebastian Joseph, MD
• Shawn Cyril Joseph, M.D.
• Shona Malu Joseph, DO
• Simi Jesto Joseph, APRN, CNP
• Suja Ann Joseph, MD
• Tessy A Joseph, MD
• Thea Joseph

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.