Individual provider Active NPI

Debra Michele Fitzloff, RPH

  • Pharmacist
  • Willowbrook, IL
National Provider Identifier
1962527564
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051-288132 Issued in IL
Practice address
6300 Kingery Hwy
Willowbrook, IL 60527-2248
Phone
(630) 654-2378
Fax
(630) 654-2708
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-288132 IL Primary

Addresses

Primary practice location

6300 Kingery Hwy
Willowbrook, IL 60527-2248

Mailing address

7830 Glenfield Ave
Tinley Park, IL 60487-5199
Phone (815) 806-8611

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

LicenseStateTypeSpecialty
051-288132ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1962527564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 GLENFIELD AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604875199",
            "telephone_number": "815-806-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272248",
            "telephone_number": "630-654-2378",
            "fax_number": "630-654-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZLOFF",
        "first_name": "DEBRA",
        "middle_name": "MICHELE",
        "name_prefix": "Miss",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-288132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.