MR. GARY H FRISCH (NPI# 1982761318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982761318 |
| Entity Type | Individual |
| Full Name | MR. GARY H FRISCH |
| Credential | RPH, BSPHARM |
| Practice Address |
2746 N Clybourn Ave Costco Pharmacy Chicago IL 60614-1006 |
| Mailing Address |
2454 W Fletcher St Chicago IL 60618-7916 |
| Practice Telephone | 7733602052 |
| Mailing Telephone | 7733882464 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 051-029989 | IL | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051029989 | IL | Pharmacy Service Providers |
| Street Address |
2746 N CLYBOURN AVE COSTCO PHARMACY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407966013 | Costco Wholesale Corporation | Pharmacy | 2746 N Clybourn Ave, Chicago, IL 60614 | 2006-08-30 |
| 1356822969 | Kenneth B Capulong | Pharmacist | 2746 N Clybourn Ave, Chicago, IL 60614-1006 | 2018-08-22 |
| 1346793395 | Ryan Powers | Pharmacist | 2746 N Clybourn Ave, Chicago, IL 60614-1006 | 2016-07-26 |
| 1598150229 | Costco Wholesale Corporation | Hearing Aid Equipment | 2746 N Clybourn Ave, Chicago, IL 60614-1006 | 2015-03-31 |
| 1518358597 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2746 N Clybourn Ave, Chicago, IL 60614-1006 | 2015-02-11 |
| 1700210267 | Janelle Espique Agulo | Pharmacist | 2746 N Clybourn Ave, Chicago, IL 60614-1006 | 2013-09-02 |
| 1942576368 | Perry Gerber | Pharmacist | 2746 N Clybourn Ave, Chicago, IL 60614-1006 | 2012-03-29 |
| 1831412816 | Sharon Allen | Pharmacist | 2746 N Clybourn Ave, Chicago, IL 60614-1006 | 2010-03-05 |
| 1033363569 | Peter J Kim | Pharmacist | 2746 N Clybourn Ave, Chicago, IL 60614-1006 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1922661230 | Devon Burhoe | Pharmacist | 833 S Wood St Ste 164, Chicago, IL 60612-7229 | 2019-04-22 |
| 1649743626 | Phoebe Sebhatu Lebeau | Pharmacist | 1725 W Harrison St Ste 104, Chicago, IL 60612-3832 | 2019-01-02 |
| 1730566233 | Glen Pietrandoni | Pharmacist | 2100 N Racine Ave, 4d, Chicago, IL 60614-4060 | 2015-05-04 |
| 1952732570 | Joy Ezidinma | Pharmacist | 3302 W Crystal St, Unit 2, Chicago, IL 60651-2375 | 2013-12-07 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1255601753 | Viktorija O Trakis | Pharmacist | 675 N Peoria St Apt 2n, Chicago, IL 60642-8324 | 2011-12-31 |
| 1558664896 | Jaini Patel | Pharmacist | 2535 South Martin Luther King Drive, Chicago, IL 60616 | 2010-12-08 |
| 1780997684 | Roger Allen Wilcox | Pharmacist | 6 E Monroe St Ste 1304, Chicago, IL 60603-2728 | 2010-07-20 |
| 1851604102 | Angela M. Plewa | Pharmacist | 1901 W Harrison St # Ll175, Chicago, IL 60612-3714 | 2010-07-15 |
| Find all providers in CHICAGO | ||||
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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.