Jeremy Tolbert, MD
Individual provider Active NPI Pharmacist · Dixmoor, IL
NPI 1982350153 · NPPES record last updated Feb 26, 2022
Key facts
- NPI
- 1982350153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9166763412 (AR)
- Practice address
- 14500 Oakley St
Dixmoor, IL 60426-1056 - Phone
- (773) 426-2318
- NPI assigned
- Feb 26, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9166763412 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9166763412 | AR | Yes |
Addresses
Primary practice location
14500 Oakley St
Dixmoor, IL 60426-1056
Mailing address
14500 Oakley St
Dixmoor, IL 60426-1056
Phone (773) 426-2318
Other names
- Jeremy Tolbert
Other providers in Dixmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.