Individual provider Active NPI

Patrick Daniel McGrath, PH.D., R.PH.

  • Pharmacist
  • Grayslake, IL
National Provider Identifier
1891045340
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.294151 Issued in IL
Practice address
683 Center Street
Unit C
Grayslake, IL 60030
Phone
(847) 548-7860
Fax
(847) 548-7863
NPI assigned
Sep 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2009039119 MO
Pharmacist 183500000X 051.294151 IL Primary
Pharmacist 183500000X 1-15503 KS

Addresses

Primary practice location

683 Center Street
Unit C
Grayslake, IL 60030

Mailing address

683 Center Street
Unit C
Grayslake, IL 60030
Phone (847) 548-7860

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 Philosophy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051.294151ILMDPharmacist
1-15503KSMDPharmacist
2009039119MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1891045340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 CENTER STREET",
            "address_2": "UNIT C",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "60030",
            "telephone_number": "847-548-7860",
            "fax_number": "847-548-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 CENTER STREET",
            "address_2": "UNIT C",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "60030",
            "telephone_number": "847-548-7860",
            "fax_number": "847-548-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "PATRICK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2009039119",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.294151",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-15503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.