Active NPI
Anjana Matiwala
- Pharmacist
- Schaumburg, IL
National Provider Identifier
1992287346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.039739
- Practice address
- 1600 McConnor Parkway
Schaumburg, IL 60188 - Phone
- (215) 681-8167
- NPI assigned
- Sep 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 051.039739 | IL | Primary |
Addresses
Primary practice location
1600 McConnor Parkway
Schaumburg, IL 60188
Mailing address
1236 Burnham Street
Carol Stream, IL 60188
Phone (630) 871-6044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051.039739 | Other | IL | REGISTERED PHARMACIST |
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 |
|---|---|---|---|
| 051.039739 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535846400000",
"number": "1992287346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 BURNHAM STREET",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "60188",
"telephone_number": "630-871-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MCCONNOR PARKWAY",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60188",
"telephone_number": "215-681-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIWALA",
"first_name": "ANJANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-02",
"last_updated": "2018-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.039739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST",
"identifier": "051.039739",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.