Gary H Frisch, RPH, BSPHARM

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

051029989 Issued in IL

Practice address

2746 N Clybourn Ave
Costco Pharmacy
Chicago, IL 60614-1006

Phone

(773) 360-2052

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1982761318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 W FLETCHER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187916",
            "telephone_number": "773-388-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 N CLYBOURN AVE",
            "address_2": "COSTCO PHARMACY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141006",
            "telephone_number": "773-360-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISCH",
        "first_name": "GARY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "RPH, BSPHARM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-029989",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IL",
            "license": "051029989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph P Frieser, PT
• Bradley G Frieswyk, BCBA
• Christa Frisbie, PA-C
• Jeanne Marie Frisby-Zedan, M.D.
• Dana Frisch, M.D.
• Hannah L Frisch, PHD
• Kasumi Frisch
• Naomi Frisch, OTD
• Ora Frisch, RD
• Lily Friske, LCPC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.