Cristian Carbajal

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.304594 Issued in IL

Practice address

20015 E Grant Hwy
Marengo, IL 60152-8207

Phone

(815) 568-7866

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Marengo Community Pharmacy Inc

  • Community/Retail Pharmacy
  • Marengo, IL
  • NPI 1114282266
  NPD

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1871360941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 COVERED BRIDGE CT",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601246876",
            "telephone_number": "224-276-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20015 E GRANT HWY",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601528207",
            "telephone_number": "815-568-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAJAL",
        "first_name": "CRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.304594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Barnhart, M.ED., LCPC, NCC
• Martha K Basile, DDS
• Kelly Beck, LCPC
• Brandt Pharmacy Inc
• Broadstep Academy-Illinois Inc
• Jerry Ward Cargill, MD
• April Carlson
• Lauren Carr, APRN
• Sam Chen, D.P.T.
• Cherniak Family Chiropractic, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.