Active NPI
Susan Louise Moreland-Wilkins, RPH
- Pharmacist
- Evanston, IL
National Provider Identifier
1992816276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 2650 Ridge Ave
Inpatient Pharmacy - B929
Evanston, IL 60201-1718 - Phone
- (847) 570-1581
- Fax
- (847) 570-2990
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Inpatient Pharmacy - B929
Evanston, IL 60201-1718
Mailing address
831 Hartrey Ave
Evanston, IL 60202-1512
Phone (847) 331-5434
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-034429 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992816276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 HARTREY AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021512",
"telephone_number": "847-331-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "INPATIENT PHARMACY - B929",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-1581",
"fax_number": "847-570-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELAND-WILKINS",
"first_name": "SUSAN",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.