Active NPI
William Frank Nowak, PHARMACIST
- Pharmacist
- Orland Park, IL
National Provider Identifier
1962629196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.032752
- Practice address
- 15080 S la Grange Rd
Orland Park, IL 60462-3233 - Phone
- (708) 460-7263
- Fax
- (708) 460-7267
- NPI assigned
- Apr 19, 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 | 051.032752 | IL | Primary |
Addresses
Primary practice location
15080 S la Grange Rd
Orland Park, IL 60462-3233
Mailing address
16710 Trail View CT
Tinley Park, IL 60477-2185
Phone (708) 429-3485
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 |
|---|---|---|---|
| 051.032752 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962629196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16710 TRAIL VIEW CT",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604772185",
"telephone_number": "708-429-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15080 S LA GRANGE RD",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623233",
"telephone_number": "708-460-7263",
"fax_number": "708-460-7267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "WILLIAM",
"middle_name": "FRANK",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.032752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.