Active NPI
Guy G Crimaldi, RPH
- Pharmacist
- Chicago, IL
National Provider Identifier
1932325438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-0034361
- Practice address
- 6736 N Loron Ave
Chicago, IL 60646-1410 - Phone
- (773) 774-1022
- Fax
- (847) 635-2265
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 051-0034361 | IL | Primary |
Addresses
Primary practice location
6736 N Loron Ave
Chicago, IL 60646-1410
Mailing address
6736 N Loron Ave
Chicago, IL 60646-1410
Phone (773) 774-1022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051-034631 | Other | IL | PHARMACIST LICENSE# |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-0034361 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1932325438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6736 N LORON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606461410",
"telephone_number": "773-774-1022",
"fax_number": "847-635-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6736 N LORON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606461410",
"telephone_number": "773-774-1022",
"fax_number": "847-635-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIMALDI",
"first_name": "GUY",
"middle_name": "G",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-0034361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE#",
"identifier": "051-034631",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.