Carl Schmook III
Individual provider Active NPI Pharmacist · Markham, IL
NPI 1992077903 · NPPES record last updated Feb 7, 2012
Key facts
- NPI
- 1992077903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051038407 (IL)
- Practice address
- 3148 W 159TH St
Markham, IL 60428-4042 - Phone
- (708) 339-1184
- NPI assigned
- Feb 7, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051038407 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051038407 | IL | Yes |
Addresses
Primary practice location
3148 W 159TH St
Markham, IL 60428-4042
Mailing address
26157 S Ruby St
Monee, IL 60449-8709
Other providers in Markham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2012. 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.