Active NPI
Rebecca Heneghan, PHARMD
- Pharmacist
- Evanston, IL
National Provider Identifier
1962911131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051288231
- Practice address
- 633 Emerson St
Evanston, IL 60208-0844 - Phone
- (847) 291-2144
- NPI assigned
- Sep 20, 2017
- Sex
- Female
- 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 | 051288231 | IL | Primary |
Addresses
Primary practice location
633 Emerson St
Evanston, IL 60208-0844
Mailing address
1425 Garden St
Park Ridge, IL 60068-3801
Phone (773) 704-1482
Other practice location 1
2338 N Clark St
Chicago, IL 60614-3423
Phone (773) 360-8595
Other names 1
- Rebecca Schray
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051288231 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1962911131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 GARDEN ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600683801",
"telephone_number": "773-704-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 EMERSON ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602080844",
"telephone_number": "847-291-2144"
}
],
"practiceLocations": [
{
"address_1": "2338 N Clark St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606143423",
"country_code": "US",
"telephone_number": "773-360-8595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENEGHAN",
"first_name": "REBECCA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051288231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "SCHRAY",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.