Smitha H Shivaprasad, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051297064 Issued in IL

Practice address

39023 N Green Bay Rd
Beach Park, IL 60087-1978

Phone

(847) 599-2447

Fax

(847) 599-8672

NPI assigned

Oct 2, 2013

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1922435114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39023 N GREEN BAY RD",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600871978",
            "telephone_number": "847-599-2447",
            "fax_number": "847-599-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39023 N GREEN BAY RD",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600871978",
            "telephone_number": "847-599-2447",
            "fax_number": "847-599-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVAPRASAD",
        "first_name": "SMITHA",
        "middle_name": "H",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051297064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.02137@store.walgreens.com",
            "affiliation": "N",
            "address_1": "39023 N Green Bay Rd",
            "city": "Beach Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600871978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Beach Park, IL
• Providers in Beach Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.