Active NPI
Jagdish Desai
- Pharmacist
- Chicago, IL
National Provider Identifier
1992252944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-033681
- Practice address
- 1608 W 69TH St
Chicago, IL 60636-3316 - Phone
- (773) 778-3420
- NPI assigned
- Sep 7, 2016
- 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 | 051-033681 | IL | Primary |
Addresses
Primary practice location
1608 W 69TH St
Chicago, IL 60636-3316
Mailing address
1608 W 69TH St
Chicago, IL 60636-3316
Phone (773) 778-3420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364309678 | Medicaid | IL |
Other names 1
- Jagdish P Desai
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-033681 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1992252944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 W 69TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606363316",
"telephone_number": "773-778-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 W 69TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606363316",
"telephone_number": "773-778-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "JAGDISH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-033681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364309678",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAGDISH",
"last_name": "DESAI",
"middle_name": "P",
"code": "2",
"type": "Professional Name"
}
]
}
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 Sep 7, 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.