Active NPI
Ivan S Colorato
- Pharmacist
- Bloomingdale, IL
National Provider Identifier
1891088738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051287590
- Practice address
- 314 W Army Trail Rd
Bloomingdale, IL 60108-2300 - Phone
- (630) 893-5382
- NPI assigned
- May 25, 2011
- Sex
- Male
- 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 | 051287590 | IL | Primary |
Addresses
Primary practice location
314 W Army Trail Rd
Bloomingdale, IL 60108-2300
Mailing address
5727 Deer Creek LN
Westmont, IL 60559-2112
Phone (630) 663-9306
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051287590 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326672000000",
"number": "1891088738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5727 DEER CREEK LN",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605592112",
"telephone_number": "630-663-9306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 W ARMY TRAIL RD",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082300",
"telephone_number": "630-893-5382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLORATO",
"first_name": "IVAN",
"middle_name": "S",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2012-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051287590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.