MR. SAMBHU NATH MUKHOPADHYAY (NPI# 1558525782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558525782 |
| Entity Type | Individual |
| Full Name | MR. SAMBHU NATH MUKHOPADHYAY |
| Credential | R.PH |
| Practice Address |
5th Avenue & Roosevelt Road Building 37 Nw Cmopp Hines IL 60141 |
| Mailing Address |
2426 S 3rd Ave North Riverside IL 60546-1206 |
| Practice Telephone | 7087867553 |
| Mailing Telephone | 7084420644 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
051.033958 | IL | Pharmacy Service Providers |
| Street Address |
5TH AVENUE & ROOSEVELT ROAD BUILDING 37 NW CMOPP |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700817426 | Colleen Joanne Leininger | Audiologist | 5th Avenue & Roosevelt Road, Audiology 126, Hines, IL 60141 | 2006-07-05 |
| 1437316296 | Gerald Francis Doyle | Pharmacist | 5th Avenue & Roosevelt Road, Building 37 Nw, Hines, IL 60141 | 2008-05-20 |
| 1427177831 | Pamela C. Wilson | Social Worker | 5th Avenue & Roosevelt Road, Hines Va Hospital, Hines, IL 60141-5000 | 2007-03-28 |
| 1992891402 | Eunice Ann Pleshar | Rehabilitation Hospital | 5th Avenue & Roosevelt Road, Hines, IL 60141 | 2006-10-04 |
| 1114011335 | George Henry Kramer | Kinesiotherapist | 5th Avenue & Roosevelt Road, Hines Veterans Administration Hospital, Hines, IL 60141 | 2006-10-03 |
| 1053411462 | Eric James Strong | Specialist/Technologist | 5th Avenue & Roosevelt Road, Hines, IL 60141-5000 | 2006-09-25 |
| 1548369952 | Eugene Edward Ryan Jr. | Registered Nurse | 5th Avenue & Roosevelt Road, Hines, IL 60141 | 2006-09-22 |
| 1396844171 | Bruce Guay | Internal Medicine | 5th Avenue & Roosevelt Road, Hines, IL 60141-5000 | 2006-09-21 |
| 1649385881 | Ai Hua Keh-lim | Radiology | 5th Avenue & Roosevelt Road, Hines, IL 60141 | 2006-08-20 |
| 1073520045 | Deborah Jean Strzok | Social Worker | 5th Avenue & Roosevelt Road, Hines, IL 60141 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568654143 | Justin Michael Schmidt | Pharmacist | 5000 S. Fifth Ave, Bld 200 Rm 1225 (m/c 119k), Hines, IL 60141 | 2007-08-16 |
| 1275607947 | Francine Dela Cruz-goodman | Pharmacist | 1st Ave (1 Block North of Cermak Rd), Bldg 37 Rm 139, Hines, IL 60141 | 2006-11-17 |
| 1104905082 | Muriel Burk | Pharmacist | 1st Ave 1 Blk North of Cermak Rd, Bldg 37, Rm 139, Hines, IL 60141 | 2006-11-03 |
| 1053499848 | Kathryn Tortorice | Pharmacist | 1st Ave Bldg 37 Room 139, Pbm(119d), Hines, IL 60141 | 2006-11-01 |
| 1831282789 | Syed M Ali | Pharmacist | 5th & Roosevelt Rd., Pharmacy Service, Hines, IL 60414 | 2006-10-02 |
| 1043314230 | Eunha Lai | Pharmacist | Edward Hines Jr. Hospital, 5th Ave. and Roosevelt Rd., Hines, IL 60141 | 2006-09-11 |
| 1144324534 | Stephanie Ann Mueller | Pharmacist | 5th Ave and Roosevelt Rd Pharmacy Department Mc #119, Edward Hines Jr Va Medical Center, Hines, IL 60141 | 2006-09-07 |
| 1073541421 | Raymond Joseph Byrne | Pharmacist | 5th Avenue and Roosevelt, Hines, IL 60141 | 2006-06-28 |
| 1730434127 | Manali Szynkarek | Pharmacist | 5000 S 5th Ave, Pharmacy Service (119), Hines, IL 60141-3030 | 2012-07-21 |
| 1427127786 | Deborah Khachikian | Pharmacist | 5th and Roosevelt Rd, Bldg 37, Rm 139, Hines, IL 60141 | 2006-11-08 |
| Find all providers in HINES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.