Individual provider Active NPI

///Chona Sabistina, BS

  • Pharmacist
  • Skokie, IL
National Provider Identifier
1922431311
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11231 Issued in NV
Practice address
8001 Lincoln Ave Ste 800
Skokie, IL 60077-3657
Phone
(775) 772-7081
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11231 NV Primary
Pharmacist 183500000X 5346 NM

Addresses

Primary practice location

8001 Lincoln Ave Ste 800
Skokie, IL 60077-3657

Mailing address

PO Box 1312
Kings Beach, CA 96143-1312
Phone (775) 772-7081

Other names 1

  • Mrs. Chona Russell Former name

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
5346NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walker River Paiute Tribe Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1922431311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1312",
            "city": "KINGS BEACH",
            "state": "CA",
            "postal_code": "961431312",
            "telephone_number": "775-772-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 LINCOLN AVE STE 800",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773657",
            "telephone_number": "775-772-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABISTINA",
        "first_name": "///CHONA",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "11231",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "5346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHONA",
            "last_name": "RUSSELL",
            "prefix": "MRS.",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.