Active NPI
Bradley J Hampson, R.PH.
- Pharmacist
- Chicago, IL
National Provider Identifier
1972884989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-286553
- Practice address
- 3201 N Broadway St
Chicago, IL 60657-3514 - Phone
- (773) 327-3591
- NPI assigned
- Sep 3, 2011
- 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 | 051-286553 | IL | Primary |
Addresses
Primary practice location
3201 N Broadway St
Chicago, IL 60657-3514
Mailing address
10345 W Roosevelt Rd
Westchester, IL 60154-2520
Phone (708) 681-4034
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 |
|---|---|---|---|
| 051-286553 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Chicago, IL
- NPI 1508871765
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1972884989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10345 W ROOSEVELT RD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601542520",
"telephone_number": "708-681-4034",
"fax_number": "708-681-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573514",
"telephone_number": "773-327-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPSON",
"first_name": "BRADLEY",
"middle_name": "J",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-03",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-286553",
"primary": true
}
],
"identifiers": [],
"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 Dec 21, 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.